{"ok":true,"object":{"id":"atm_cms_4pq5n9py_055850","kind":"NursingFacility","name":"PINE RIDGE CARE CENTER","parent_id":"atm_geoid_060411060012011","depth":null,"facts":{"state":"CA","urban":"Y","address":"45 PROFESSIONAL CENTER PKWY, SAN RAFAEL, 94903","chain_id":"334","citytown":"SAN RAFAEL","latitude":"38.0111","location":"45 PROFESSIONAL CENTER PKWY,SAN RAFAEL,CA,94903","zip_code":"94903","longitude":"-122.54","qm_rating":"5","abuse_icon":"N","chain_name":"MARINER HEALTH CARE","cms_dataset":"4pq5-n9py","countyparish":"Marin","provider_name":"PINE RIDGE CARE CENTER","provider_type":"Medicare and Medicaid","overall_rating":"5","ownership_type":"For profit - Partnership","number_of_fines":"0","processing_date":"2026-09-01","staffing_rating":"5","provider_address":"45 PROFESSIONAL CENTER PKWY","geocoding_footnote":"","longstay_qm_rating":"5","qm_rating_footnote":"","legal_business_name":"SAN RAFAEL OPERATING COMPANY LP","shortstay_qm_rating":"5","high_performing_icon":"N","special_focus_status":"","nursing_casemix_index":"1.23358","chain_average_qm_rating":"4.4","overall_rating_footnote":"","health_inspection_rating":"3","number_of_certified_beds":"101","provider_ssa_county_code":"310","staffing_rating_footnote":"","number_of_payment_denials":"0","registered_nurse_turnover":"36.0","total_number_of_penalties":"0","reported_staffing_footnote":"","longstay_qm_rating_footnote":"","nursing_casemix_index_ratio":"0.87374","cms_certification_number_ccn":"055850","provider_resides_in_hospital":"N","shortstay_qm_rating_footnote":"","total_nursing_staff_turnover":"42.9","chain_average_staffing_rating":"4.2","number_of_facilities_in_chain":"17","administrator_turnover_footnote":"","total_amount_of_fines_in_dollars":"0.00","health_inspection_rating_footnote":"","rating_cycle_1_total_health_score":"104","chain_average_overall_5star_rating":"3.5","rating_cycle_23_total_health_score":"52","registered_nurse_turnover_footnote":"","total_weighted_health_survey_score":"91.000","with_a_resident_and_family_council":"Resident","average_number_of_residents_per_day":"86.5","rating_cycle_1_health_revisit_score":"0","continuing_care_retirement_community":"N","physical_therapist_staffing_footnote":"","rating_cycle_23_health_revisit_score":"0","total_nursing_staff_turnover_footnote":"","chain_average_health_inspection_rating":"2.8","rating_cycle_1_health_deficiency_score":"104","rating_cycle_1_standard_survey_footnote":"","rating_cycle_23_health_deficiency_score":"52","rating_cycle_2_standard_survey_footnote":"","rating_cycle_1_number_of_health_revisits":"1","rating_cycle_23_number_of_health_revisits":"1","rating_cycle_1_standard_survey_health_date":"2025-12-05","rating_cycle_2_standard_health_survey_date":"2024-12-12","average_number_of_residents_per_day_footnote":"","provider_changed_ownership_in_last_12_months":"N","casemix_rn_staffing_hours_per_resident_per_day":"0.59879","adjusted_rn_staffing_hours_per_resident_per_day":"1.31093","casemix_lpn_staffing_hours_per_resident_per_day":"0.75024","reported_rn_staffing_hours_per_resident_per_day":"1.15364","adjusted_lpn_staffing_hours_per_resident_per_day":"0.48297","reported_lpn_staffing_hours_per_resident_per_day":"0.42502","automatic_sprinkler_systems_in_all_required_areas":"Yes","rating_cycle_1_total_number_of_health_deficiencies":"15","most_recent_health_inspection_more_than_2_years_ago":"N","rating_cycle_23_total_number_of_health_deficiencies":"12","rating_cycle_1_number_of_standard_health_deficiencies":"11","rating_cycle_2_number_of_standard_health_deficiencies":"3","reported_licensed_staffing_hours_per_resident_per_day":"1.57866","casemix_nurse_aide_staffing_hours_per_resident_per_day":"2.02480","number_of_citations_from_infection_control_inspections":"","rating_cycle_1_number_of_complaint_health_deficiencies":"5","adjusted_nurse_aide_staffing_hours_per_resident_per_day":"3.29292","casemix_total_nurse_staffing_hours_per_resident_per_day":"3.37383","number_of_administrators_who_have_left_the_nursing_home":"0","rating_cycle_23_number_of_complaint_health_deficiencies":"9","reported_nurse_aide_staffing_hours_per_resident_per_day":"2.89781","adjusted_total_nurse_staffing_hours_per_resident_per_day":"5.08682","reported_total_nurse_staffing_hours_per_resident_per_day":"4.47648","registered_nurse_hours_per_resident_per_day_on_the_weekend":"0.84828","date_first_approved_to_provide_medicare_and_medicaid_services":"1967-11-01","casemix_weekend_total_nurse_staffing_hours_per_resident_per_day":"2.99096","reported_physical_therapist_staffing_hours_per_resident_per_day":"0.03859","adjusted_weekend_total_nurse_staffing_hours_per_resident_per_day":"4.63136","total_number_of_nurse_staff_hours_per_resident_per_day_on_t_4a14":"4.07567"},"source_id":"src_18e6be69d97e19d07c95","updated_at":"2026-10-10T02:29:59.094Z","type":"Feature","geometry":{"type":"Point","coordinates":[-122.539669,38.009981]},"links":{"self":"https://miscsubjects.com/atlas/atoms/atm_cms_4pq5n9py_055850","children":"https://miscsubjects.com/atlas/atoms/atm_cms_4pq5n9py_055850/children","descendants":"https://miscsubjects.com/atlas/atoms/atm_cms_4pq5n9py_055850/descendants","inside":"https://miscsubjects.com/atlas/atoms/atm_cms_4pq5n9py_055850/inside","graph":"https://miscsubjects.com/atlas/graph?start=atm_cms_4pq5n9py_055850","page":"https://miscsubjects.com/graph/atlas:atm_cms_4pq5n9py_055850","json":"https://miscsubjects.com/graph/atlas:atm_cms_4pq5n9py_055850.json"},"ancestors":[{"id":"atm_geoid_060411060012011","kind":"CensusBlock","name":"Block 2011","up":1},{"id":"atm_geoid_060411060012","kind":"CensusBlockGroup","name":"Block Group 2","up":2},{"id":"atm_geoid_06041106001","kind":"CensusTract","name":"Census Tract 1060.01","up":3},{"id":"atm_geoid_06041","kind":"County","name":"Marin County","up":4},{"id":"atm_geoid_06","kind":"State","name":"California","up":5},{"id":"atm_geoid_us","kind":"Country","name":"United States","up":6}],"children_by_kind":[],"edges_out":[{"rel":"located_on","id":"atm_marin_parcels_2400926","kind":"Parcel","name":"15507206","share":null},{"rel":"same_as","id":"atm_ovt_2b9cac5c_6017_4003_b912_bec6ccf8ebfb","kind":"AutoBusiness","name":"Pine Ridge Care Center","share":null}],"edges_in":[],"edges_in_total":0,"external_ids":[{"system":"ccn","value":"055850"}],"source":{"id":"src_18e6be69d97e19d07c95","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=state&conditions%5B0%5D%5Bvalue%5D=CA&conditions%5B1%5D%5Bproperty%5D=countyparish&conditions%5B1%5D%5Bvalue%5D=MARIN&limit=500","license":"CMS Care Compare provider data, public domain","read_at":"2026-10-10T02:29:23.809Z","sha256":"7e9641dbdc2b049b39d2d03fbf3de7e9aaed795094aaef5700886b1f76122fb5"},"observations":[],"edges_out_total":2,"entities":{"atm_cms_4pq5n9py_055850":{"id":"atm_cms_4pq5n9py_055850","label":"PINE RIDGE CARE CENTER","type":"NursingFacility","page":"https://miscsubjects.com/graph/atlas:atm_cms_4pq5n9py_055850","json":"https://miscsubjects.com/graph/atlas:atm_cms_4pq5n9py_055850.json"},"atm_geoid_060411060012011":{"id":"atm_geoid_060411060012011","label":"Block 2011","type":"CensusBlock","page":"https://miscsubjects.com/graph/atlas:atm_geoid_060411060012011","json":"https://miscsubjects.com/graph/atlas:atm_geoid_060411060012011.json"},"atm_geoid_060411060012":{"id":"atm_geoid_060411060012","label":"Block Group 2","type":"CensusBlockGroup","page":"https://miscsubjects.com/graph/atlas:atm_geoid_060411060012","json":"https://miscsubjects.com/graph/atlas:atm_geoid_060411060012.json"},"atm_geoid_06041106001":{"id":"atm_geoid_06041106001","label":"Census Tract 1060.01","type":"CensusTract","page":"https://miscsubjects.com/graph/atlas:atm_geoid_06041106001","json":"https://miscsubjects.com/graph/atlas:atm_geoid_06041106001.json"},"atm_geoid_06041":{"id":"atm_geoid_06041","label":"Marin County","type":"County","page":"https://miscsubjects.com/graph/atlas:atm_geoid_06041","json":"https://miscsubjects.com/graph/atlas:atm_geoid_06041.json"},"atm_geoid_06":{"id":"atm_geoid_06","label":"California","type":"State","page":"https://miscsubjects.com/graph/atlas:atm_geoid_06","json":"https://miscsubjects.com/graph/atlas:atm_geoid_06.json"},"atm_geoid_us":{"id":"atm_geoid_us","label":"United States","type":"Country","page":"https://miscsubjects.com/graph/atlas:atm_geoid_us","json":"https://miscsubjects.com/graph/atlas:atm_geoid_us.json"},"atm_marin_parcels_2400926":{"id":"atm_marin_parcels_2400926","label":"15507206","type":"Parcel","page":"https://miscsubjects.com/graph/atlas:atm_marin_parcels_2400926","json":"https://miscsubjects.com/graph/atlas:atm_marin_parcels_2400926.json"},"atm_ovt_2b9cac5c_6017_4003_b912_bec6ccf8ebfb":{"id":"atm_ovt_2b9cac5c_6017_4003_b912_bec6ccf8ebfb","label":"Pine Ridge Care Center","type":"AutoBusiness","page":"https://miscsubjects.com/graph/atlas:atm_ovt_2b9cac5c_6017_4003_b912_bec6ccf8ebfb","json":"https://miscsubjects.com/graph/atlas:atm_ovt_2b9cac5c_6017_4003_b912_bec6ccf8ebfb.json"}},"relationships":{"upward":{"predicate":"part_of","parent_ref":"atm_geoid_060411060012011","ancestors":[{"ref":"atm_geoid_060411060012011","distance":1},{"ref":"atm_geoid_060411060012","distance":2},{"ref":"atm_geoid_06041106001","distance":3},{"ref":"atm_geoid_06041","distance":4},{"ref":"atm_geoid_06","distance":5},{"ref":"atm_geoid_us","distance":6}],"order":"nearest parent first"},"downward":{"predicate":"part_of","total":0,"by_kind":[]},"sideways":{"outgoing":{"returned":2,"total":2,"items":[{"subject":"atm_cms_4pq5n9py_055850","predicate":"located_on","object":"atm_marin_parcels_2400926","ref":"atm_marin_parcels_2400926"},{"subject":"atm_cms_4pq5n9py_055850","predicate":"same_as","object":"atm_ovt_2b9cac5c_6017_4003_b912_bec6ccf8ebfb","ref":"atm_ovt_2b9cac5c_6017_4003_b912_bec6ccf8ebfb"}]},"incoming":{"returned":0,"total":0,"items":[]},"json":"https://miscsubjects.com/atlas/atoms/atm_cms_4pq5n9py_055850/edges?limit=100&offset=0"}},"reference_contract":{"entity_lookup":"entities[ref]","directions":"Parent/ancestors and children describe the stored parent hierarchy. Edges retain their own predicates and subject/object direction; they do not imply containment.","counts":"Counts refer to source objects, not necessarily distinct people or physical properties. A null total is unknown, not zero.","pagination":"Child pages use limit (maximum 500), offset and optional kind. Edge pages apply offset separately to incoming and outgoing lists. Follow each canonical JSON link to continue traversal.","fact_scope":"Facts belong to this object. Collection membership, professional presence, mailing city and an associated parcel do not establish residence or transfer jurisdiction.","source_hash":"source.sha256 describes the source provenance; it is not a hash of this JSON response."}}}