Worth County Convalescent Center - Grant City Nursing Home
General Information
UPDATEFederal Provider Number
265773
Provider Name
WORTH COUNTY CONVALESCENT CENTER
Provider Address
503 EAST FOURTH
GRANT CITY, MO 64456
GRANT CITY, MO 64456
Provider Phone Number
6605643304
Provider SSA County
995
Provider County Name
Worth
Ownership Type
Government - County
Number of Certified Beds
50
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WORTH COUNTY NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid services
2003-11-24
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.43125
Reported LPN Staffing Hours per Resident per Day
0.34167
Reported RN Staffing Hours per Resident per Day
0.91458
Reported Licensed Staffing Hours per Resident per Day
1.25625
Reported Total Nurse Staffing Hours per Resident per Day
3.68750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04792
Expected CNA Staffing Hours per Resident per Day
2.12144
Expected LPN Staffing Hours per Resident per Day
0.56705
Expected RN Staffing Hours per Resident per Day
0.86053
Expected Total Nurse Staffing Hours per Resident per Day
3.54902
Adjusted CNA Staffing Hours per Resident per Day
2.81204
Adjusted LPN Staffing Hours per Resident per Day
0.50011
Adjusted RN Staffing Hours per Resident per Day
0.79413
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18819
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-08
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
54.66700
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
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