Diversicare Of St Joseph - Saint Joseph Nursing Home
General Information
UPDATEFederal Provider Number
265754
Provider Name
DIVERSICARE OF ST JOSEPH
Provider Address
3002 NORTH 18TH ST
SAINT JOSEPH, MO 64505
SAINT JOSEPH, MO 64505
Provider Phone Number
8163644200
Provider SSA County
100
Provider County Name
Buchanan
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE OF ST. JOSEPH LLC
Date First Approved to Provide Medicare and Medicaid services
2003-03-27
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.61776
Reported LPN Staffing Hours per Resident per Day
0.63271
Reported RN Staffing Hours per Resident per Day
0.62570
Reported Licensed Staffing Hours per Resident per Day
1.25841
Reported Total Nurse Staffing Hours per Resident per Day
3.87617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00187
Expected CNA Staffing Hours per Resident per Day
2.16416
Expected LPN Staffing Hours per Resident per Day
0.63549
Expected RN Staffing Hours per Resident per Day
0.99411
Expected Total Nurse Staffing Hours per Resident per Day
3.79375
Adjusted CNA Staffing Hours per Resident per Day
2.96799
Adjusted LPN Staffing Hours per Resident per Day
0.82637
Adjusted RN Staffing Hours per Resident per Day
0.47029
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11847
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-01-30
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
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
72.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
St Joseph Chateau
811 North 9th Street |
SAINT JOSEPH MO 64501 | 1.3 miles away
Laverna Village Of St Joseph
1317 North 36th Street |
SAINT JOSEPH MO 64506 | 2 miles away
Carriage Square Living & Rehab Center
4009 Gene Field Road |
SAINT JOSEPH MO 64506 | 2.4 miles away
Living Community Of St Joseph
1202 Heartland Road |
SAINT JOSEPH MO 64506 | 3.6 miles away
Abbey Wood's
5026 Faraon |
SAINT JOSEPH MO 64506 | 3.8 miles away
Riverside Place
1616 Weisenborn Road |
SAINT JOSEPH MO 64507 | 4.5 miles away
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