Array
(
    [dev] => 
    [date] => DateTime Object
        (
            [date] => 2023-09-01 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/home/TX/RAYMONDVILLE/78580/retama-manor-nursing-center-raymondville/2016-10-01
    [mostRecent] => 2023-09-01
    [data] => MongoDB\Model\BSONDocument Object
        (
            [storage:ArrayObject:private] => Array
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                    [_id] => MongoDB\BSON\ObjectId Object
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                            [oid] => 5810f28eaced5747046938fb
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                    [provnum] => 675475
                    [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                    [address] => 1700 S EXPRESSWAY 77
                    [city] => RAYMONDVILLE
                    [state] => TX
                    [zip] => 78580
                    [phone] => 9566892126
                    [county_ssa] => 962
                    [county_name] => Willacy
                    [ownership] => For profit - Corporation
                    [bedcert] => 82
                    [restot] => 74
                    [certification] => Medicare and Medicaid
                    [inhosp] => NO
                    [lbn] => SSC RAYMONDVILLE OPERATING COMPANY LLC
                    [participation_date] => 1995-02-07
                    [ccrc_facil] => N
                    [sff] => N
                    [oldsurvey] => N
                    [chow_last_12mos] => N
                    [resfamcouncil] => Both
                    [sprinkler_status] => Yes
                    [overall_rating] => 1
                    [overall_rating_fn] => 
                    [survey_rating] => 2
                    [survey_rating_fn] => 
                    [quality_rating] => 2
                    [quality_rating_fn] => 
                    [staffing_rating] => 1
                    [staffing_rating_fn] => 
                    [rn_staffing_rating] => 1
                    [rn_staffing_rating_fn] => 
                    [staffing_flag] => 
                    [pt_staffing_flag] => 
                    [aidhrd] => 1.23581
                    [vochrd] => 0.81486
                    [rnhrd] => 0.31014
                    [totlichrd] => 1.125
                    [tothrd] => 2.36081
                    [pthrd] => 0.02703
                    [exp_aide] => 2.37074
                    [exp_lpn] => 0.64194
                    [exp_rn] => 1.04962
                    [exp_total] => 4.06229
                    [adj_aide] => 1.27906
                    [adj_lpn] => 1.05358
                    [adj_rn] => 0.22078
                    [adj_total] => 2.34257
                    [cycle_1_defs] => 20
                    [cycle_1_nfromdefs] => 14
                    [cycle_1_nfromcomp] => 6
                    [cycle_1_defs_score] => 160
                    [cycle_1_survey_date] => 2016-06-13
                    [cycle_1_numrevis] => 1
                    [cycle_1_revisit_score] => 0
                    [cycle_1_total_score] => 160
                    [cycle_2_defs] => 10
                    [cycle_2_nfromdefs] => 7
                    [cycle_2_nfromcomp] => 3
                    [cycle_2_defs_score] => 80
                    [cycle_2_survey_date] => 2015-06-11
                    [cycle_2_numrevis] => 1
                    [cycle_2_revisit_score] => 0
                    [cycle_2_total_score] => 80
                    [cycle_3_defs] => 10
                    [cycle_3_nfromdefs] => 5
                    [cycle_3_nfromcomp] => 5
                    [cycle_3_defs_score] => 80
                    [cycle_3_survey_date] => 2014-06-05
                    [cycle_3_numrevis] => 1
                    [cycle_3_revisit_score] => 0
                    [cycle_3_total_score] => 80
                    [weighted_all_cycles_score] => 120
                    [incident_cnt] => 1
                    [cmplnt_cnt] => 4
                    [fine_cnt] => 0
                    [fine_tot] => 0
                    [payden_cnt] => 0
                    [tot_penlty_cnt] => 0
                    [filedate] => 2016-10-01
                    [timestamp] => 1475280000
                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                        (
                            [milliseconds] => 1475280000000
                        )

                    [change_overall_rating] => 0
                    [change_survey_rating] => 0
                    [change_quality_rating] => 0
                    [change_staffing_rating] => 0
                    [change_rn_staffing_rating] => 0
                    [web] => retama-manor-nursing-center-raymondville
                    [latitude] => 26.466312
                    [longitude] => -97.771526
                    [searchArea] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [10] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [max_latitude] => 26.611043595348
                                                    [min_latitude] => 26.321580404652
                                                    [max_longitude] => -97.609850226859
                                                    [min_longitude] => -97.933201773141
                                                )

                                        )

                                    [25] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [max_latitude] => 26.82814098837
                                                    [min_latitude] => 26.10448301163
                                                    [max_longitude] => -97.367336567148
                                                    [min_longitude] => -98.175715432852
                                                )

                                        )

                                )

                        )

                    [occupancy] => 0.90243902439024
                    [stateAvg] => 
                    [covidDetails] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 6516a08e391161666b3fb6a6
                                        )

                                    [week_ending] => 2023-09-17
                                    [federal_provider_number] => 675475
                                    [provider_name] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                    [provider_address] => 1700 S EXPRESSWAY 77
                                    [provider_city] => RAYMONDVILLE
                                    [provider_state] => TX
                                    [provider_zip_code] => 78580
                                    [provider_phone_number] => 9566892126
                                    [county] => Willacy
                                    [submitted_data] => Y
                                    [passed_quality_assurance_check] => Y
                                    [residents_weekly_confirmed_covid_19] => 0
                                    [residents_total_confirmed_covid_19] => 86
                                    [residents_weekly_all_deaths] => 0
                                    [residents_total_all_deaths] => 42
                                    [residents_weekly_covid_19_deaths] => 0
                                    [residents_total_covid_19_deaths] => 9
                                    [number_of_all_beds] => 120
                                    [total_number_of_occupied_beds] => 59
                                    [Residents_Hospitalizations_with_Confirmed_COVID_19] => 0
                                    [Residents_Hospitalizations_with_Confirmed_COVID_19_and_Up_to_Date_with_Vaccines] => 0
                                    [staff_weekly_confirmed_covid_19] => 0
                                    [staff_total_confirmed_covid_19] => 78
                                    [weekly_resident_confirmed_covid_19_cases_per_1_000_residents] => 0
                                    [weekly_resident_covid_19_deaths_per_1_000_residents] => 0
                                    [total_resident_confirmed_covid_19_cases_per_1_000_residents] => 1457.63
                                    [total_resident_covid_19_deaths_per_1_000_residents] => 152.54
                                    [Number_of_Residents_who_are_Up_to_Date_on_COVID_19_Vaccinations__14_Days_or_More_Before_Positive_Test] => 0
                                    [number_of_residents_staying_in_this_facility_for_at_least_1_day_this_week] => 59
                                    [number_of_all_healthcare_personnel_eligible_to_work_in_this_facility_for_at_least_1_day_this_week] => 70
                                    [number_of_all_healthcare_personnel_eligible_to_work_in_this_facility_for_at_least_1_day_this_week_who_received_a_completed_covid_19_vaccination_at_any_time] => 63
                                    [recent_percentage_of_current_healthcare_personnel_who_received_a_completed_covid_19_vaccination_at_any_time] => 90
                                    [percentage_of_current_healthcare_personnel_who_received_a_completed_covid_19_vaccination_at_any_time] => 90
                                    [Number_of_Residents_Staying_in_this_Facility_for_At_Least_1_Day_This_Week_Up_to_Date_with_COVID_19_Vaccines] => 32
                                    [Recent_Percentage_of_Current_Residents_Up_to_Date_with_COVID_19_Vaccines] => 54.237
                                    [Percentage_of_Current_Residents_Up_to_Date_with_COVID_19_Vaccines] => 54.237
                                    [Number_of_Healthcare_Personnel_Eligible_to_Work_in_this_Facility_for_At_Least_1_Day_This_Week_Up_to_Date_with_COVID_19_Vaccines] => 21
                                    [Recent_Percentage_of_Current_Healthcare_Personnel_Up_to_Date_with_COVID_19_Vaccines] => 30
                                    [Percentage_of_Current_Healthcare_Personnel_Up_to_Date_with_COVID_19_Vaccines] => 30
                                )

                        )

                    [quality] => Array
                        (
                            [0] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f295aced57470469eaf1
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 521
                                            [msr_descr] => Percentage of short-stay residents who were rehospitalized after a nursing home admission
                                            [stay_type] => Short Stay
                                            [score_adjusted] => 25.104976
                                            [score_observed] => 25.714287
                                            [score_expected] => 23.338498
                                            [score_fn] => 
                                            [five_star_msr] => Y
                                            [measure_period] => 2015Q1-2015Q4
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [1] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f295aced57470469eaf2
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 522
                                            [msr_descr] => Percentage of short-stay residents who had an outpatient emergency department visit
                                            [stay_type] => Short Stay
                                            [score_adjusted] => 10.814257
                                            [score_observed] => 11.428571
                                            [score_expected] => 12.142073
                                            [score_fn] => 
                                            [five_star_msr] => Y
                                            [measure_period] => 2015Q1-2015Q4
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [2] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f295aced57470469eaf3
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 523
                                            [msr_descr] => Percentage of short-stay residents who were successfully discharged to the community
                                            [stay_type] => Short Stay
                                            [score_adjusted] => 
                                            [score_observed] => 
                                            [score_expected] => 
                                            [score_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
                                            [five_star_msr] => Y
                                            [measure_period] => 2015Q1-2015Q4
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                        )

                    [qualityMDS] => Array
                        (
                            [0] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdef
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 401
                                            [msr_descr] => Percentage of long-stay residents whose need for help with daily activities has increased
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 10.41667
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 16
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 25
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 29.09091
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 20.487806
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [1] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdf0
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 402
                                            [msr_descr] => Percentage of long-stay residents who self-report moderate to severe pain
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 13.007545
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 14.523704
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 5.807456
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 1.939219
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 8.71001
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [2] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdf1
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 403
                                            [msr_descr] => Percentage of high risk long-stay residents with pressure ulcers
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 5
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 4.87805
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 4.87805
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 1.96078
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 4.046242
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [3] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdf2
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 404
                                            [msr_descr] => Percentage of long-stay residents who lose too much weight
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 1.63934
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 3.22581
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 8.06452
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 7.04225
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 5.078125
                                            [score4qtr_fn] => 
                                            [five_star_msr] => N
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [4] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdf3
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 405
                                            [msr_descr] => Percentage of low risk long-stay residents who lose control of their bowels or bladder
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 
                                            [q1_measure_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
                                            [q2_measure_score] => 54.54545
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 
                                            [q3_measure_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
                                            [q4_measure_score] => 
                                            [q4_measure_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
                                            [measure_score_4qtr_avg] => 44.285714
                                            [score4qtr_fn] => 
                                            [five_star_msr] => N
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [5] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdf4
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 406
                                            [msr_descr] => Percentage of long-stay residents with a catheter inserted and left in their bladder
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 2.947452
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 4.560877
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 1.587305
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 1.112696
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 2.498253
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [6] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdf5
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 407
                                            [msr_descr] => Percentage of long-stay residents with a urinary tract infection
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 3.27869
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 4.83871
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 1.6129
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 0
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 2.34375
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [7] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdf6
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 408
                                            [msr_descr] => Percentage of long-stay residents who have depressive symptoms
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 1.78571
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 0
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 0
                                            [q3_measure_fn] => 
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                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 0.420167
                                            [score4qtr_fn] => 
                                            [five_star_msr] => N
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                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                            [state] => TX
                                            [zip] => 78580
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                                            [msr_descr] => Percentage of long-stay residents who were physically restrained
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                                            [q1_measure_fn] => 
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                                            [q2_measure_fn] => 
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                                            [q3_measure_fn] => 
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                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 1.908397
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 5810f2aeaced5747046ebdf8
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                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
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                                            [msr_descr] => Percentage of long-stay residents experiencing one or more falls with major injury
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 3.27869
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 0
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 0
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 0
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 0.763359
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                )

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                                (
                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 5810f2aeaced5747046ebdf9
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 411
                                            [msr_descr] => Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 93.333333
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 93.333333
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 85.29412
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 85.294118
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 89.062501
                                            [score4qtr_fn] => 
                                            [five_star_msr] => N
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                )

                            [11] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdfa
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 415
                                            [msr_descr] => Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 57.37705
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 40.625
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 39.0625
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 38.35616
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 43.511449
                                            [score4qtr_fn] => 
                                            [five_star_msr] => N
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                )

                            [12] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdfb
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 419
                                            [msr_descr] => Percentage of long-stay residents who received an antipsychotic medication
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 14.28571
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 26.31579
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 24.5614
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 16.92308
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 20.425531
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [13] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdfc
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 424
                                            [msr_descr] => Percentage of short-stay residents who self-report moderate to severe pain
                                            [stay_type] => Short Stay
                                            [q1_measure_score] => 
                                            [q1_measure_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
                                            [q2_measure_score] => 
                                            [q2_measure_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
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                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 
                                            [q4_measure_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
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                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                        )

                                )

                            [14] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebdfd
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 425
                                            [msr_descr] => Percentage of short-stay residents with pressure ulcers that are new or worsened
                                            [stay_type] => Short Stay
                                            [q1_measure_score] => 2.117492
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 0
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 1.875242
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 1.99721
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 1.4914
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                )

                            [15] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 5810f2aeaced5747046ebdfe
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 426
                                            [msr_descr] => Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
                                            [stay_type] => Short Stay
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                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 40.540541
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 25.5814
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 25.581395
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 32.500001
                                            [score4qtr_fn] => 
                                            [five_star_msr] => N
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [16] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 5810f2aeaced5747046ebdff
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 430
                                            [msr_descr] => Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
                                            [stay_type] => Short Stay
                                            [q1_measure_score] => 16.21622
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 10.52632
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 9.30233
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 6.06061
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 10.596031
                                            [score4qtr_fn] => 
                                            [five_star_msr] => N
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

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                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 5810f2aeaced5747046ebe00
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 434
                                            [msr_descr] => Percentage of short-stay residents who newly received an antipsychotic medication
                                            [stay_type] => Short Stay
                                            [q1_measure_score] => 4.54545
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 4.34783
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 9.09091
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 10
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 6.896552
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [18] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebe01
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 451
                                            [msr_descr] => Percentage of long-stay residents whose ability to move independently worsened
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 15.46433
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 21.132736
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 28.50596
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 23.445724
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 22.336548
                                            [score4qtr_fn] => 
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [19] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebe02
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 452
                                            [msr_descr] => Percentage of long-stay residents who received an antianxiety or hypnotic medication
                                            [stay_type] => Long Stay
                                            [q1_measure_score] => 27.272728
                                            [q1_measure_fn] => 
                                            [q2_measure_score] => 29.824561
                                            [q2_measure_fn] => 
                                            [q3_measure_score] => 30.508474
                                            [q3_measure_fn] => 
                                            [q4_measure_score] => 21.538462
                                            [q4_measure_fn] => 
                                            [measure_score_4qtr_avg] => 27.118644
                                            [score4qtr_fn] => 
                                            [five_star_msr] => N
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [20] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f2aeaced5747046ebe03
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [msr_cd] => 471
                                            [msr_descr] => Percentage of short-stay residents who made improvements in function
                                            [stay_type] => Short Stay
                                            [q1_measure_score] => 
                                            [q1_measure_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
                                            [q2_measure_score] => 
                                            [q2_measure_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
                                            [q3_measure_score] => 
                                            [q3_measure_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
                                            [q4_measure_score] => 
                                            [q4_measure_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
                                            [measure_score_4qtr_avg] => 
                                            [score4qtr_fn] => The number of residents is too small to report. Call the facility to discuss this quality measure.
                                            [five_star_msr] => Y
                                            [q1_quarter] => 2015Q3
                                            [q2_quarter] => 2015Q4
                                            [q3_quarter] => 2016Q1
                                            [q4_quarter] => 2016Q2
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                        )

                    [deficiency] => Array
                        (
                            [0] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cf09
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2014-02-12
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 224
                                            [tag_desc] => Protect each resident from mistreatment, neglect and misappropriation of personal property.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-03-10
                                            [cycle] => 3
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

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                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cf0a
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2014-02-12
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 225
                                            [tag_desc] => 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-03-10
                                            [cycle] => 3
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [2] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cf0b
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
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                                            [tag_desc] => Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
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                                            [defstat] => Deficient, Provider has date of correction
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                                            [cycle] => 3
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 279
                                            [tag_desc] => Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-03-10
                                            [cycle] => 3
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                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                            [4] => MongoDB\Model\BSONDocument Object
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                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 5810f259aced57470465cf0d
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                                            [provnum] => 675475
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                                            [survey_date_output] => 2014-02-12
                                            [surveytype] => Health
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                                            [tag] => 323
                                            [tag_desc] => Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
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                                            [cycle] => 3
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
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                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                            [5] => MongoDB\Model\BSONDocument Object
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                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                            [zip] => 78580
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                                            [surveytype] => Health
                                            [defpref] => F
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                                            [tag_desc] => Protect each resident from mistreatment, neglect and misappropriation of personal property.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-03-10
                                            [cycle] => 3
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                            [6] => MongoDB\Model\BSONDocument Object
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                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 583c7da920c4de1abf6e51ba
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                                            [provnum] => 675475
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                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2014-02-12
                                            [surveytype] => Health
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                                            [tag_desc] => 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-03-10
                                            [cycle] => 3
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                )

                            [7] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51bb
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
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                                            [surveytype] => Health
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                                            [tag_desc] => Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-03-10
                                            [cycle] => 3
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                        )

                                )

                            [8] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51bc
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
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                                            [city] => RAYMONDVILLE
                                            [state] => TX
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                                            [surveytype] => Health
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                                            [tag_desc] => Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-03-10
                                            [cycle] => 3
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                )

                            [9] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 583c7da920c4de1abf6e51bd
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
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                                            [city] => RAYMONDVILLE
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                                            [zip] => 78580
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                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 323
                                            [tag_desc] => Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-03-10
                                            [cycle] => 3
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                                    [milliseconds] => 1475280000000
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                                )

                            [10] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cf0f
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
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                                            [city] => RAYMONDVILLE
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                                            [zip] => 78580
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                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 249
                                            [tag_desc] => Ensure the activities program is directed by a qualified professional.
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                                            [defstat] => Deficient, Provider has date of correction
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                                            [cycle] => 3
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                                    [milliseconds] => 1475280000000
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                            [11] => MongoDB\Model\BSONDocument Object
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                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 5810f259aced57470465cf10
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                                            [provnum] => 675475
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                                            [surveytype] => Health
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                                            [defstat] => Deficient, Provider has date of correction
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                                            [cycle] => 3
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                                    [milliseconds] => 1475280000000
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                            [12] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 5810f259aced57470465cf11
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
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                                            [surveytype] => Health
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                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-07-20
                                            [cycle] => 3
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                                    [milliseconds] => 1475280000000
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                            [13] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 5810f259aced57470465cf12
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
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                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
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                                            [tag] => 431
                                            [tag_desc] => Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                                    [milliseconds] => 1475280000000
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                            [14] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 5810f259aced57470465cf13
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                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
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                                            [state] => TX
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                                            [defstat] => Deficient, Provider has date of correction
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                                            [cycle] => 3
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                )

                            [15] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 583c7da920c4de1abf6e51bf
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                                            [cycle] => 3
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                                    [milliseconds] => 1475280000000
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                            [16] => MongoDB\Model\BSONDocument Object
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                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                                    [milliseconds] => 1475280000000
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                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                            [tag_desc] => Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
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                                            [defstat] => Deficient, Provider has date of correction
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                                            [cycle] => 3
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                (
                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 583c7da920c4de1abf6e51c2
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
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                                            [zip] => 78580
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                                            [defpref] => F
                                            [tag] => 431
                                            [tag_desc] => Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-07-20
                                            [cycle] => 3
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

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                                )

                            [19] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 583c7da920c4de1abf6e51c3
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
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                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 514
                                            [tag_desc] => Keep accurate, complete and organized clinical records on each resident that meet professional standards.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-07-20
                                            [cycle] => 3
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [20] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cf0e
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
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                                            [surveytype] => Fire Safety
                                            [defpref] => K
                                            [tag] => 29
                                            [tag_desc] => Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
                                            [scope] => F
                                            [defstat] => Deficient, Provider has date of correction
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                                            [cycle] => 3
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [21] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51be
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2014-06-11
                                            [surveytype] => Fire Safety
                                            [defpref] => K
                                            [tag] => 29
                                            [tag_desc] => Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
                                            [scope] => F
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2014-06-30
                                            [cycle] => 3
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [22] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cf07
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2015-06-10
                                            [surveytype] => Fire Safety
                                            [defpref] => K
                                            [tag] => 52
                                            [tag_desc] => An approved installation, maintenance and testing program for fire alarm systems.
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                                            [defstat] => Deficient, Provider has date of correction
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                                        )

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                            [43] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cefe
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2015-09-16
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 315
                                            [tag_desc] => Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2015-10-16
                                            [cycle] => 2
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [44] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51ad
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2015-09-16
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 309
                                            [tag_desc] => Provide necessary care and services to maintain or improve the highest well being of each resident .
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2015-10-16
                                            [cycle] => 2
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [45] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51ae
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2015-09-16
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 315
                                            [tag_desc] => Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2015-10-16
                                            [cycle] => 2
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [46] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465ceed
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2015-11-19
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 329
                                            [tag_desc] => Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-01-18
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [47] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e519d
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2015-11-19
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 329
                                            [tag_desc] => Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-01-18
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [48] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465ceea
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-04-08
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 225
                                            [tag_desc] => 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-05-15
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [49] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465ceeb
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-04-08
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 226
                                            [tag_desc] => Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-05-15
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [50] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465ceec
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-04-08
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 279
                                            [tag_desc] => Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-05-15
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [51] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e519a
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-04-08
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 225
                                            [tag_desc] => 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-05-15
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [52] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e519b
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-04-08
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 226
                                            [tag_desc] => Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-05-15
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [53] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e519c
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-04-08
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 279
                                            [tag_desc] => Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-05-15
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [54] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cee8
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-05-26
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 225
                                            [tag_desc] => 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-06-26
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [55] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cee9
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-05-26
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 226
                                            [tag_desc] => Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-06-26
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [56] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e5198
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-05-26
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 225
                                            [tag_desc] => 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-06-26
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [57] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e5199
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-05-26
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 226
                                            [tag_desc] => Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-06-26
                                            [cycle] => 1
                                            [standard] => N
                                            [complaint] => Y
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [58] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cefc
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-08
                                            [surveytype] => Fire Safety
                                            [defpref] => K
                                            [tag] => 54
                                            [tag_desc] => Properly maintained smoke detectors.
                                            [scope] => F
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [59] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51ac
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-08
                                            [surveytype] => Fire Safety
                                            [defpref] => K
                                            [tag] => 54
                                            [tag_desc] => Properly maintained smoke detectors.
                                            [scope] => F
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [60] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465ceee
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 164
                                            [tag_desc] => Keep  residents' personal and medical records private and confidential.
                                            [scope] => B
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [61] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465ceef
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 246
                                            [tag_desc] => Reasonably accommodate the needs and preferences of each resident.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [62] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cef0
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 272
                                            [tag_desc] => Conduct initial and periodic assessments of each resident's functional capacity.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [63] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cef1
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 279
                                            [tag_desc] => Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                        )

                                )

                            [64] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cef2
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 282
                                            [tag_desc] => Provide care by qualified persons according to each resident's written plan of care.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [65] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cef3
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 312
                                            [tag_desc] => Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [66] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cef4
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 318
                                            [tag_desc] => Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [67] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cef5
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 332
                                            [tag_desc] => Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [68] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cef6
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 372
                                            [tag_desc] => Dispose of garbage and refuse properly.
                                            [scope] => C
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [69] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cef7
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 425
                                            [tag_desc] => Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
                                            [scope] => F
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [70] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cef8
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 441
                                            [tag_desc] => Have a program that investigates, controls and keeps infection from spreading.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [71] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cef9
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 460
                                            [tag_desc] => Provide bedrooms that don't allow residents to see each other when privacy is needed.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [72] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cefa
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 498
                                            [tag_desc] => Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [73] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 5810f259aced57470465cefb
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 514
                                            [tag_desc] => Keep accurate, complete and organized clinical records on each resident that meet professional standards.
                                            [scope] => F
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [74] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e519e
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 164
                                            [tag_desc] => Keep  residents' personal and medical records private and confidential.
                                            [scope] => B
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [75] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e519f
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 246
                                            [tag_desc] => Reasonably accommodate the needs and preferences of each resident.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [76] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51a0
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 272
                                            [tag_desc] => Conduct initial and periodic assessments of each resident's functional capacity.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [77] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51a1
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 279
                                            [tag_desc] => Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [78] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51a2
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 282
                                            [tag_desc] => Provide care by qualified persons according to each resident's written plan of care.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [79] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51a3
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 312
                                            [tag_desc] => Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [80] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51a4
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 318
                                            [tag_desc] => Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [81] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51a5
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 332
                                            [tag_desc] => Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [82] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51a6
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 372
                                            [tag_desc] => Dispose of garbage and refuse properly.
                                            [scope] => C
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
                                                )

                                        )

                                )

                            [83] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51a7
                                                )

                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 425
                                            [tag_desc] => Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
                                            [scope] => F
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                        )

                                )

                            [84] => MongoDB\Model\BSONDocument Object
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                                    [storage:ArrayObject:private] => Array
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                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 583c7da920c4de1abf6e51a8
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 441
                                            [tag_desc] => Have a program that investigates, controls and keeps infection from spreading.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                )

                            [85] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51a9
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 460
                                            [tag_desc] => Provide bedrooms that don't allow residents to see each other when privacy is needed.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
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                                                    [oid] => 583c7da920c4de1abf6e51aa
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 498
                                            [tag_desc] => Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
                                            [scope] => E
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                            [87] => MongoDB\Model\BSONDocument Object
                                (
                                    [storage:ArrayObject:private] => Array
                                        (
                                            [_id] => MongoDB\BSON\ObjectId Object
                                                (
                                                    [oid] => 583c7da920c4de1abf6e51ab
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                                            [provnum] => 675475
                                            [provname] => RETAMA MANOR NURSING CENTER/RAYMONDVILLE
                                            [address] => 1700 S EXPRESSWAY 77
                                            [city] => RAYMONDVILLE
                                            [state] => TX
                                            [zip] => 78580
                                            [survey_date_output] => 2016-06-13
                                            [surveytype] => Health
                                            [defpref] => F
                                            [tag] => 514
                                            [tag_desc] => Keep accurate, complete and organized clinical records on each resident that meet professional standards.
                                            [scope] => F
                                            [defstat] => Deficient, Provider has date of correction
                                            [statdate] => 2016-07-22
                                            [cycle] => 1
                                            [standard] => Y
                                            [complaint] => N
                                            [filedate] => 2016-10-01
                                            [timestamp] => 1475280000
                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
                                                (
                                                    [milliseconds] => 1475280000000
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                                        )

                                )

                        )

                    [inspectionDates] => Array
                        (
                        )

                    [historicalRatings] => Array
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                            [2014-02-01] => Array
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                            [2014-04-01] => Array
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                            [2014-05-01] => Array
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                            [2014-08-01] => Array
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                                )

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                                    [health] => 2
                                )

                            [2014-11-01] => Array
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                                )

                            [2014-12-01] => Array
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                                            [Facility ID] => 450033
                                            [Facility Name] => VHS HARLINGEN HOSPITAL COMPANY LLC
                                            [Address] => 2101 PEASE ST
                                            [City] => HARLINGEN
                                            [State] => TX
                                            [ZIP Code] => 78550
                                            [County Name] => CAMERON
                                            [Phone Number] => (956) 389-1100
                                            [Hospital Type] => Acute Care Hospitals
                                            [Hospital Ownership] => Proprietary
                                            [Emergency Services] => Yes
                                            [Meets criteria for promoting interoperability of EHRs] => Y
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                                            [Hospital overall rating footnote] => 
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                                            [Count of Facility MORT Measures] => 7
                                            [Count of MORT Measures Better] => 0
                                            [Count of MORT Measures No Different] => 7
                                            [Count of MORT Measures Worse] => 0
                                            [MORT Group Footnote] => 
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                                            [Count of Facility Safety Measures] => 8
                                            [Count of Safety Measures Better] => 1
                                            [Count of Safety Measures No Different] => 7
                                            [Count of Safety Measures Worse] => 0
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                                            [Count of READM Measures Better] => 0
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                                            [Count of Facility TE Measures] => 7
                                            [TE Group Footnote] => 
                                            [modified_date] => 2023-01-06
                                            [released_date] => 2023-01-25
                                            [facilityId] => 450033
                                            [name] => VHS HARLINGEN HOSPITAL COMPANY LLC
                                            [web] => vhs-harlingen-hospital-company-llc
                                            [zip] => 78550
                                            [latitude] => 26.173414
                                            [longitude] => -97.670666
                                            [searchArea] => MongoDB\Model\BSONDocument Object
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                                            [Facility ID] => 450128
                                            [Facility Name] => KNAPP MEDICAL CENTER
                                            [Address] => 1401 EAST EIGHT STREET
                                            [City] => WESLACO
                                            [State] => TX
                                            [ZIP Code] => 78596
                                            [County Name] => HIDALGO
                                            [Phone Number] => (956) 968-8567
                                            [Hospital Type] => Acute Care Hospitals
                                            [Hospital Ownership] => Voluntary non-profit - Private
                                            [Emergency Services] => Yes
                                            [Meets criteria for promoting interoperability of EHRs] => Y
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                                            [Hospital overall rating footnote] => 
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                                            [Count of MORT Measures Better] => 0
                                            [Count of MORT Measures No Different] => 5
                                            [Count of MORT Measures Worse] => 0
                                            [MORT Group Footnote] => 
                                            [Safety Group Measure Count] => 8
                                            [Count of Facility Safety Measures] => 6
                                            [Count of Safety Measures Better] => 1
                                            [Count of Safety Measures No Different] => 4
                                            [Count of Safety Measures Worse] => 1
                                            [Safety Group Footnote] => 
                                            [READM Group Measure Count] => 11
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                                                                            [location] => 1751 N 15TH ST,ABILENE,TX,79603
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                                                                            [provname] => Westpark Rehabilitation and Living
                                                                            [web] => westpark-rehabilitation-and-living
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                                                                            [provname] => Palestine Healthcare Center
                                                                            [web] => palestine-healthcare-center
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                                                                            [resfamcouncil] => Resident
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                                                                            [location] => 1816 TILE FACTORY RD,PALESTINE,TX,75801
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                                                                            [provnum] => 675185
                                                                            [provname] => Longmeadow Healthcare Center
                                                                            [web] => longmeadow-healthcare-center
                                                                            [address] => 120 MEADOWVIEW DR
                                                                            [city] => JUSTIN
                                                                            [state] => TX
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                                                                            [affiliatedentityname] => CREATIVE SOLUTIONS IN HEALTHCARE
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                                                                            [ccrc_facil] => N
                                                                            [sffstatus] => SFF Candidate
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                                                                            [chow_last_12mos] => N
                                                                            [resfamcouncil] => Resident
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                                                                            [overall_rating_fn] => 
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                                                                            [quality_rating_fn] => 
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                                                                            [web] => asbury-care-center-of-houston
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                                                                            [provname] => Hendrick Skilled Nursing Facility
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                                                                            [address] => 1900 PINE
                                                                            [city] => ABILENE
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                                                                                                            [web] => skyline-nursing-center
                                                                                                            [address] => 3326 BURGOYNE
                                                                                                            [city] => DALLAS
                                                                                                            [state] => TX
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                                                                                                            [county_name] => Dallas
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                                                                                                            [provname] => Treemont Healthcare and Rehabilitation Center
                                                                                                            [web] => treemont-healthcare-and-rehabilitation-center
                                                                                                            [address] => 5550 HARVEST HILL RD
                                                                                                            [city] => DALLAS
                                                                                                            [state] => TX
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                                                                                                            [location] => 5550 HARVEST HILL RD,DALLAS,TX,75230
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                                                                                                                                            [tag_desc] => Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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                                                                                                                                            [filedate] => 2023-09-01
                                                                                                                                        )

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                                                                                                                                            [filedate] => 2023-09-01
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                                                                                                            [provname] => Dallas Retirement Village Health Center
                                                                                                            [web] => dallas-retirement-village-health-center
                                                                                                            [address] => 377 NW JASPER STREET
                                                                                                            [city] => DALLAS
                                                                                                            [state] => OR
                                                                                                            [zip] => 97338
                                                                                                            [phone] => 5036235581
                                                                                                            [county_ssa] => 260
                                                                                                            [county_name] => Polk
                                                                                                            [ownership] => Non profit - Corporation
                                                                                                            [bedcert] => 121
                                                                                                            [restot] => 95.9
                                                                                                            [restot_fn] => 
                                                                                                            [certification] => Medicare and Medicaid
                                                                                                            [inhosp] => N
                                                                                                            [lbn] => DALLAS HEALTH CARE CENTER LLC
                                                                                                            [participation_date] => 1989-09-12
                                                                                                            [affiliatedentityname] => 
                                                                                                            [affiliatedentityid] => 
                                                                                                            [ccrc_facil] => N
                                                                                                            [sffstatus] => 
                                                                                                            [abuse_icon] => Y
                                                                                                            [oldsurvey] => N
                                                                                                            [chow_last_12mos] => N
                                                                                                            [resfamcouncil] => Both
                                                                                                            [sprinkler_status] => Yes
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                                                                                                            [survey_rating_fn] => 
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                                                                                                            [adj_aide] => 2.90175
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                                                                                                            [adj_rn] => 0.65362
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                                                                                                            [cycle_1_survey_date] => 2023-07-31
                                                                                                            [cycle_1_defs] => 39
                                                                                                            [cycle_1_nfromdefs] => 25
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                                                                                                            [cycle_1_defs_score] => 212
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                                                                                                            [cycle_2_revisit_score] => 46
                                                                                                            [cycle_2_total_score] => 138
                                                                                                            [cycle_3_survey_date] => 2019-11-12
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                                                                                                            [incident_cnt] => 6
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                                                                                                            [fine_tot] => 657.8
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                                                                                                            [location] => 377 NW JASPER STREET,DALLAS,OR,97338
                                                                                                            [latitude] => 44.9315
                                                                                                            [longitude] => -123.316
                                                                                                            [geocodingfootnote] => 
                                                                                                            [filedate] => 2023-09-01
                                                                                                            [timestamp] => 1693526400
                                                                                                            [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                                                                                            [change_overall_rating] => 0
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                                                                                                            [durationOverallRating] => 3
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                                                                                                            [website] => https://www.dallasretirementvillage.com/
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                                                                                                                    [storage:ArrayObject:private] => Array
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                                                                                                                                    [storage:ArrayObject:private] => Array
                                                                                                                                        (
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                                                                                                                                            [surveytype] => Health
                                                                                                                                            [tag_desc] => Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
                                                                                                                                            [statdate] => 2023-09-19
                                                                                                                                            [complaint] => N
                                                                                                                                            [filedate] => 2023-09-01
                                                                                                                                        )

                                                                                                                                )

                                                                                                                            [1] => MongoDB\Model\BSONDocument Object
                                                                                                                                (
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                                                                                                                                            [complaint] => N
                                                                                                                                            [filedate] => 2023-09-01
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                                                                                                            [provnum] => 675680
                                                                                                            [provname] => Brentwood Place One
                                                                                                            [web] => brentwood-place-one
                                                                                                            [address] => 3505 S BUCKNER BLVD BLDG 2
                                                                                                            [city] => DALLAS
                                                                                                            [state] => TX
                                                                                                            [zip] => 75227
                                                                                                            [phone] => 2143811815
                                                                                                            [county_ssa] => 390
                                                                                                            [county_name] => Dallas
                                                                                                            [ownership] => For profit - Partnership
                                                                                                            [bedcert] => 120
                                                                                                            [restot] => 107.6
                                                                                                            [restot_fn] => 
                                                                                                            [certification] => Medicare and Medicaid
                                                                                                            [inhosp] => N
                                                                                                            [lbn] => CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
                                                                                                            [participation_date] => 1997-04-22
                                                                                                            [affiliatedentityname] => 
                                                                                                            [affiliatedentityid] => 
                                                                                                            [ccrc_facil] => N
                                                                                                            [sffstatus] => 
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                                                                                                            [oldsurvey] => N
                                                                                                            [chow_last_12mos] => N
                                                                                                            [resfamcouncil] => Resident
                                                                                                            [sprinkler_status] => Yes
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                                                                                                            [tothrd] => 2.02348
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                                                                                                            [adjustedweekendtotalnursestaffinghoursperresidentperday] => 1.79615
                                                                                                            [cycle_1_survey_date] => 2022-09-23
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                                                                                                            [cycle_1_defs_score] => 179
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                                                                                                            [cycle_1_total_score] => 179
                                                                                                            [cycle_2_survey_date] => 2021-07-07
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                                                                                                            [cycle_3_survey_date] => 2019-07-18
                                                                                                            [cycle_3_defs] => 16
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                                                                                                            [location] => 3505 S BUCKNER BLVD BLDG 2,DALLAS,TX,75227
                                                                                                            [latitude] => 32.912
                                                                                                            [longitude] => -96.875
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                                                                                                            [overallRatingNumber] => 1
                                                                                                            [website] => https://www.brentwoodnursingcenter.com/
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                                                                                                            [deficiencies] => MongoDB\Model\BSONArray Object
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                                                                                                                    [storage:ArrayObject:private] => Array
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                                                                                                                                    [storage:ArrayObject:private] => Array
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                                                                                                                                            [tag_desc] => Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information  when a resident is transferred or discharged.
                                                                                                                                            [statdate] => 2023-07-19
                                                                                                                                            [complaint] => Y
                                                                                                                                            [filedate] => 2023-09-01
                                                                                                                                        )

                                                                                                                                )

                                                                                                                            [1] => MongoDB\Model\BSONDocument Object
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                                                                                                                                            [complaint] => Y
                                                                                                                                            [filedate] => 2023-09-01
                                                                                                                                        )

                                                                                                                                )

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                                                                                                            [provnum] => 675440
                                                                                                            [provname] => South Dallas Nursing  and  Rehabilitation
                                                                                                            [web] => south-dallas-nursing-rehabilitation
                                                                                                            [address] => 3808 S CENTRAL EXPWY
                                                                                                            [city] => DALLAS
                                                                                                            [state] => TX
                                                                                                            [zip] => 75215
                                                                                                            [phone] => 2144282851
                                                                                                            [county_ssa] => 390
                                                                                                            [county_name] => Dallas
                                                                                                            [ownership] => For profit - Limited Liability company
                                                                                                            [bedcert] => 91
                                                                                                            [restot] => 51
                                                                                                            [restot_fn] => 
                                                                                                            [certification] => Medicare and Medicaid
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                                                                                                            [lbn] => MODERN SENIOR LIVING LLC
                                                                                                            [participation_date] => 1995-01-24
                                                                                                            [affiliatedentityname] => 
                                                                                                            [affiliatedentityid] => 
                                                                                                            [ccrc_facil] => N
                                                                                                            [sffstatus] => 
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                                                                                                            [oldsurvey] => N
                                                                                                            [chow_last_12mos] => N
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                                                                                                            [quality_rating_fn] => 
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                                                                                                            [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 1.98313
                                                                                                            [registerednursehoursperresidentperdayontheweekend] => 0.2666
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                                                                                                            [cm_lpn] => 0.79421
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                                                                                                            [adj_aide] => 1.25844
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                                                                                                            [adj_total] => 2.1263
                                                                                                            [adjustedweekendtotalnursestaffinghoursperresidentperday] => 1.91411
                                                                                                            [cycle_1_survey_date] => 2022-06-29
                                                                                                            [cycle_1_defs] => 9
                                                                                                            [cycle_1_nfromdefs] => 5
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                                                                                                            [cycle_1_defs_score] => 185
                                                                                                            [cycle_1_numrevis] => 1
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                                                                                                            [cycle_1_total_score] => 185
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                                                                                                            [provname] => Villages of Lake Highlands
                                                                                                            [web] => villages-of-lake-highlands
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                                                                                                            [city] => DALLAS
                                                                                                            [state] => TX
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                                                                                                            [location] => 8615 LULLWATER DR,DALLAS,TX,75238
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