Jefferson City Nursing And Rehabilitation Ctr, Llc - Jefferson City Nursing Home
General Information
UPDATEFederal Provider Number
265530
Provider Name
JEFFERSON CITY NURSING AND REHABILITATION CTR, LLC
Provider Address
1221 SOUTHGATE LANE
JEFFERSON CITY, MO 65110
JEFFERSON CITY, MO 65110
Provider Phone Number
5736353131
Provider SSA County
250
Provider County Name
Cole
Ownership Type
For profit - Limited Liability
Number of Certified Beds
120
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEFFERSON CITY NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1993-03-09
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.38947
Reported LPN Staffing Hours per Resident per Day
1.05789
Reported RN Staffing Hours per Resident per Day
0.73158
Reported Licensed Staffing Hours per Resident per Day
1.78947
Reported Total Nurse Staffing Hours per Resident per Day
4.17894
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08618
Expected CNA Staffing Hours per Resident per Day
2.23698
Expected LPN Staffing Hours per Resident per Day
0.61258
Expected RN Staffing Hours per Resident per Day
0.97785
Expected Total Nurse Staffing Hours per Resident per Day
3.82741
Adjusted CNA Staffing Hours per Resident per Day
2.62097
Adjusted LPN Staffing Hours per Resident per Day
1.43337
Adjusted RN Staffing Hours per Resident per Day
0.55902
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40112
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-01-17
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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
Villa Marie-a Stonebridge Community
1030 Edmonds Street |
JEFFERSON CITY MO 65109 | 0.6 mile away
Adams Street -a Stonebridge Community
1024 Adams Street |
JEFFERSON CITY MO 65101 | 0.6 mile away
Jefferson City Manor Care Center
1720 Vieth Dr |
JEFFERSON CITY MO 65109 | 1.3 miles away
Heisinger Lutheran Home
1002 West Main Street |
JEFFERSON CITY MO 65109 | 1.6 miles away
St Joseph's Bluffs
1306 West Main Street |
JEFFERSON CITY MO 65109 | 1.7 miles away
Golden Livingcenter-jefferson City
3038 West Truman Blvd |
JEFFERSON CITY MO 65109 | 3.2 miles away
Oak Tree Villas-a Stonebridge Community
3108 West Truman Boulevard |
JEFFERSON CITY MO 65109 | 3.3 miles away
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