Appleton City Manor - Appleton City Nursing Home

General Information

UPDATE
Federal Provider Number
265843
Provider Name
APPLETON CITY MANOR
Provider Address
600 NORTH OHIO, PO BOX 98
APPLETON CITY, MO 64724
Provider Phone Number
6604762128
Provider SSA County
911
Provider County Name
St. Clair
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
APPLETON CITY MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
2012-10-01
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
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.88889
Reported LPN Staffing Hours per Resident per Day
0.80417
Reported RN Staffing Hours per Resident per Day
0.29444
Reported Licensed Staffing Hours per Resident per Day
1.09861
Reported Total Nurse Staffing Hours per Resident per Day
3.98750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10972
Expected CNA Staffing Hours per Resident per Day
2.16162
Expected LPN Staffing Hours per Resident per Day
0.54771
Expected RN Staffing Hours per Resident per Day
0.79699
Expected Total Nurse Staffing Hours per Resident per Day
3.50633
Adjusted CNA Staffing Hours per Resident per Day
3.27923
Adjusted LPN Staffing Hours per Resident per Day
1.21864
Adjusted RN Staffing Hours per Resident per Day
0.27605
Adjusted Total Nurse Staffing Hours per Resident per Day
4.58406
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-08-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-25
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Truman Lake Manor Inc

600 East 7th St, Po Box 415 | LOWRY CITY MO 64763 | 16.3 miles away

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