Pearl's Ii Eden For Elders - Princeton Nursing Home
General Information
UPDATEFederal Provider Number
265796
Provider Name
PEARL'S II EDEN FOR ELDERS
Provider Address
611 NORTH COLLEGE
PRINCETON, MO 64673
PRINCETON, MO 64673
Provider Phone Number
6607484407
Provider SSA County
631
Provider County Name
Mercer
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEARL'S II EDEN FOR ELDERS LLC
Date First Approved to Provide Medicare and Medicaid services
2005-04-19
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.40128
Reported LPN Staffing Hours per Resident per Day
0.78077
Reported RN Staffing Hours per Resident per Day
0.60897
Reported Licensed Staffing Hours per Resident per Day
1.38974
Reported Total Nurse Staffing Hours per Resident per Day
3.79102
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03077
Expected CNA Staffing Hours per Resident per Day
2.30465
Expected LPN Staffing Hours per Resident per Day
0.51619
Expected RN Staffing Hours per Resident per Day
0.74854
Expected Total Nurse Staffing Hours per Resident per Day
3.56938
Adjusted CNA Staffing Hours per Resident per Day
2.55658
Adjusted LPN Staffing Hours per Resident per Day
1.25543
Adjusted RN Staffing Hours per Resident per Day
0.60788
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28120
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
127
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
127
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-02-13
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
93.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
40788
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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