Adrian Manor Health & Rehabilitation Center - Adrian Nursing Home
General Information
UPDATEFederal Provider Number
265780
Provider Name
ADRIAN MANOR HEALTH & REHABILITATION CENTER
Provider Address
402 WEST FIRST STREET
ADRIAN, MO 64720
ADRIAN, MO 64720
Provider Phone Number
(816) 297-2107
Provider SSA County
60
Provider County Name
Bates
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
60
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY OF ADRIAN - ADRIAN MANOR HEALTH AND REHAB
Date First Approved to Provide Medicare and Medicaid services
2004-02-19
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
2
Health Inspection Rating Footnote
QM Rating
3
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
2.25196
Reported LPN Staffing Hours per Resident per Day
0.43137
Reported RN Staffing Hours per Resident per Day
0.44412
Reported Licensed Staffing Hours per Resident per Day
0.87549
Reported Total Nurse Staffing Hours per Resident per Day
3.12745
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00294
Expected CNA Staffing Hours per Resident per Day
2.06723
Expected LPN Staffing Hours per Resident per Day
0.56380
Expected RN Staffing Hours per Resident per Day
0.81790
Expected Total Nurse Staffing Hours per Resident per Day
3.44893
Adjusted CNA Staffing Hours per Resident per Day
2.67297
Adjusted LPN Staffing Hours per Resident per Day
0.63504
Adjusted RN Staffing Hours per Resident per Day
0.40573
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65518
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-12-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
44.66700
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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