Beautiful Savior Home - Belton Nursing Home
General Information
UPDATEFederal Provider Number
265782
Provider Name
BEAUTIFUL SAVIOR HOME
Provider Address
1003 SOUTH CEDAR STREET
BELTON, MO 64012
BELTON, MO 64012
Provider Phone Number
(816) 331-0781
Provider SSA County
180
Provider County Name
Cass
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEAUTIFUL SAVIOR HOME
Date First Approved to Provide Medicare and Medicaid services
2004-04-26
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.64787
Reported LPN Staffing Hours per Resident per Day
1.03883
Reported RN Staffing Hours per Resident per Day
0.47926
Reported Licensed Staffing Hours per Resident per Day
1.51809
Reported Total Nurse Staffing Hours per Resident per Day
5.16596
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03032
Expected CNA Staffing Hours per Resident per Day
2.17470
Expected LPN Staffing Hours per Resident per Day
0.61507
Expected RN Staffing Hours per Resident per Day
0.93031
Expected Total Nurse Staffing Hours per Resident per Day
3.72007
Adjusted CNA Staffing Hours per Resident per Day
4.11588
Adjusted LPN Staffing Hours per Resident per Day
1.40184
Adjusted RN Staffing Hours per Resident per Day
0.38493
Adjusted Total Nurse Staffing Hours per Resident per Day
5.59760
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
36
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-01-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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