Clarence Care Center - Clarence Nursing Home
General Information
UPDATEFederal Provider Number
265599
Provider Name
CLARENCE CARE CENTER
Provider Address
111 EAST STREET
CLARENCE, MO 63437
CLARENCE, MO 63437
Provider Phone Number
6606992118
Provider SSA County
984
Provider County Name
Shelby
Ownership Type
Government - County
Number of Certified Beds
60
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLARENCE NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1994-11-18
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.75690
Reported LPN Staffing Hours per Resident per Day
0.73966
Reported RN Staffing Hours per Resident per Day
0.54138
Reported Licensed Staffing Hours per Resident per Day
1.28103
Reported Total Nurse Staffing Hours per Resident per Day
5.03794
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12241
Expected CNA Staffing Hours per Resident per Day
2.00776
Expected LPN Staffing Hours per Resident per Day
0.58102
Expected RN Staffing Hours per Resident per Day
0.89171
Expected Total Nurse Staffing Hours per Resident per Day
3.48049
Adjusted CNA Staffing Hours per Resident per Day
4.59135
Adjusted LPN Staffing Hours per Resident per Day
1.05662
Adjusted RN Staffing Hours per Resident per Day
0.45365
Adjusted Total Nurse Staffing Hours per Resident per Day
5.83465
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-06-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
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
52
Cycle 2 Standard Health Survey Date
2013-05-22
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
49.33300
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
Salt River Community Care
142 Shelby Plaza Road, Po Box 529 |
SHELBINA MO 63468 | 11.7 miles away
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