Ashley Manor Care Center - Boonville Nursing Home
General Information
UPDATEFederal Provider Number
265738
Provider Name
ASHLEY MANOR CARE CENTER
Provider Address
1630 RADIO HILL ROAD
BOONVILLE, MO 65233
BOONVILLE, MO 65233
Provider Phone Number
(660) 882-6584
Provider SSA County
260
Provider County Name
Cooper
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASHLEY MANOR INC
Date First Approved to Provide Medicare and Medicaid services
2002-05-14
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.49651
Reported LPN Staffing Hours per Resident per Day
0.60581
Reported RN Staffing Hours per Resident per Day
0.65000
Reported Licensed Staffing Hours per Resident per Day
1.25581
Reported Total Nurse Staffing Hours per Resident per Day
3.75232
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09186
Expected CNA Staffing Hours per Resident per Day
2.21967
Expected LPN Staffing Hours per Resident per Day
0.56352
Expected RN Staffing Hours per Resident per Day
0.85870
Expected Total Nurse Staffing Hours per Resident per Day
3.64190
Adjusted CNA Staffing Hours per Resident per Day
2.75973
Adjusted LPN Staffing Hours per Resident per Day
0.89228
Adjusted RN Staffing Hours per Resident per Day
0.56560
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15312
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
115
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
115
Total Weighted Health Survey Score
33.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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