Ash Grove Healthcare Facility - Ash Grove Nursing Home
General Information
UPDATEFederal Provider Number
265571
Provider Name
ASH GROVE HEALTHCARE FACILITY
Provider Address
401 NORTH MEDICAL DRIVE, PO BOX 247
ASH GROVE, MO 65604
ASH GROVE, MO 65604
Provider Phone Number
(417) 751-2575
Provider SSA County
380
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Date First Approved to Provide Medicare and Medicaid services
1994-05-24
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.03165
Reported LPN Staffing Hours per Resident per Day
0.52089
Reported RN Staffing Hours per Resident per Day
0.42152
Reported Licensed Staffing Hours per Resident per Day
0.94241
Reported Total Nurse Staffing Hours per Resident per Day
2.97406
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06392
Expected CNA Staffing Hours per Resident per Day
2.25091
Expected LPN Staffing Hours per Resident per Day
0.56307
Expected RN Staffing Hours per Resident per Day
0.79396
Expected Total Nurse Staffing Hours per Resident per Day
3.60795
Adjusted CNA Staffing Hours per Resident per Day
2.21468
Adjusted LPN Staffing Hours per Resident per Day
0.76782
Adjusted RN Staffing Hours per Resident per Day
0.39669
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32270
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-03
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-03-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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