Autumn Oaks Caring Center - Mountain Grove Nursing Home
General Information
UPDATEFederal Provider Number
265406
Provider Name
AUTUMN OAKS CARING CENTER
Provider Address
1310 HOVIS STREET
MOUNTAIN GROVE, MO 65711
MOUNTAIN GROVE, MO 65711
Provider Phone Number
4179265128
Provider SSA County
996
Provider County Name
Wright
Ownership Type
For profit - Individual
Number of Certified Beds
120
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNTAIN GROVE #2 INC
Date First Approved to Provide Medicare and Medicaid services
1989-12-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.69924
Reported LPN Staffing Hours per Resident per Day
0.78561
Reported RN Staffing Hours per Resident per Day
1.15758
Reported Licensed Staffing Hours per Resident per Day
1.94318
Reported Total Nurse Staffing Hours per Resident per Day
4.64243
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05833
Expected CNA Staffing Hours per Resident per Day
2.32595
Expected LPN Staffing Hours per Resident per Day
0.57822
Expected RN Staffing Hours per Resident per Day
0.82241
Expected Total Nurse Staffing Hours per Resident per Day
3.72658
Adjusted CNA Staffing Hours per Resident per Day
2.84750
Adjusted LPN Staffing Hours per Resident per Day
1.12770
Adjusted RN Staffing Hours per Resident per Day
1.05171
Adjusted Total Nurse Staffing Hours per Resident per Day
5.02154
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Hartville Care Center
649 West Rolla Street |
HARTVILLE MO 65667 | 16.3 miles away
Rocky Ridge Manor
3111 Highway A |
MANSFIELD MO 65704 | 17.2 miles away
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