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Belleville Health Care Center - Belleville Nursing Home

General Information

UPDATE
Federal Provider Number
175246
Provider Name
BELLEVILLE HEALTH CARE CENTER
Provider Address
2626 WESLEYAN DR
BELLEVILLE, KS 66935
Provider Phone Number
7855275636
Provider SSA County
780
Provider County Name
Republic
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HMG PARK MANOR OF BELLEVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-04-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.51538
Reported LPN Staffing Hours per Resident per Day
0.26385
Reported RN Staffing Hours per Resident per Day
0.49692
Reported Licensed Staffing Hours per Resident per Day
0.76077
Reported Total Nurse Staffing Hours per Resident per Day
2.27615
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00462
Expected CNA Staffing Hours per Resident per Day
2.25359
Expected LPN Staffing Hours per Resident per Day
0.58437
Expected RN Staffing Hours per Resident per Day
0.86289
Expected Total Nurse Staffing Hours per Resident per Day
3.70085
Adjusted CNA Staffing Hours per Resident per Day
1.64994
Adjusted LPN Staffing Hours per Resident per Day
0.37475
Adjusted RN Staffing Hours per Resident per Day
0.43030
Adjusted Total Nurse Staffing Hours per Resident per Day
2.47914
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-04-17
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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

Republic County Hospital Ltcu

2420 G Street | BELLEVILLE KS 66935 | 0.3 mile away

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