{
 "id": "16E050",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Buchanan County Health Center",
 "slug": "buchanan-county-health-center",
 "path": "/ia/buchanan/independence/buchanan-county-health-center",
 "address": {
  "street": "1600 First Street East",
  "city": "Independence",
  "county": "Buchanan",
  "state": "IA",
  "state_name": "Iowa",
  "zip": "50644"
 },
 "phone": "3193346071",
 "coords": [
  42.468529,
  -91.912738
 ],
 "capacity": 39,
 "residents_per_day": 34.5,
 "status": "Medicaid",
 "licensee": "Legal Business Name Not Available",
 "administrator": null,
 "licensed_since": "1974-10-01",
 "last_visit": "2026-03-19",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "Government - County",
  "chain": null,
  "in_hospital": true,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 5,
   "health_inspection": 4,
   "staffing": 5,
   "quality": 4
  },
  "cycle1": {
   "date": "2026-03-19",
   "total": 1,
   "standard": 1,
   "complaint": 0
  },
  "fines": {
   "count": 1,
   "dollars": 4011,
   "penalties": 1
  },
  "staffing": {
   "nurse_hours_per_resident_day": 4.18911,
   "turnover_pct": 26.3
  },
  "on_record": {
   "immediate_jeopardy": 1,
   "actual_harm": 0,
   "potential_harm": 9,
   "minimal": 2
  },
  "penalties_on_file": {
   "count": 1,
   "dollars": 4011
  },
  "owners": []
 },
 "deficiencies": [
  {
   "date": "2026-03-19",
   "tag": "0880",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-03-20",
   "tag": "0812",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2025-03-20",
   "tag": "0658",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-03-20",
   "tag": "0637",
   "sev": "B",
   "complaint": false
  },
  {
   "date": "2025-03-20",
   "tag": "0657",
   "sev": "B",
   "complaint": false
  },
  {
   "date": "2024-11-26",
   "tag": "0689",
   "sev": "J",
   "complaint": true
  },
  {
   "date": "2024-11-26",
   "tag": "0741",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-06-06",
   "tag": "0801",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2024-06-06",
   "tag": "0812",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2024-06-06",
   "tag": "0637",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-06-06",
   "tag": "0656",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-06-06",
   "tag": "0688",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "16E050"
 }
}