Big Spring Care Center - Humansville Nursing Home
General Information
UPDATEFederal Provider Number
265573
Provider Name
BIG SPRING CARE CENTER
Provider Address
202 EAST MILL STREET
HUMANSVILLE, MO 65674
HUMANSVILLE, MO 65674
Provider Phone Number
(417) 754-8711
Provider SSA County
821
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHBS, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-06-03
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
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
3.20000
Reported LPN Staffing Hours per Resident per Day
0.48818
Reported RN Staffing Hours per Resident per Day
0.31091
Reported Licensed Staffing Hours per Resident per Day
0.79909
Reported Total Nurse Staffing Hours per Resident per Day
3.99909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06455
Expected CNA Staffing Hours per Resident per Day
2.02499
Expected LPN Staffing Hours per Resident per Day
0.61138
Expected RN Staffing Hours per Resident per Day
0.94477
Expected Total Nurse Staffing Hours per Resident per Day
3.58114
Adjusted CNA Staffing Hours per Resident per Day
3.87746
Adjusted LPN Staffing Hours per Resident per Day
0.66275
Adjusted RN Staffing Hours per Resident per Day
0.24589
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50134
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-03-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-04-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
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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