Birch View Nursing Center - Birch Tree Nursing Home
General Information
UPDATEFederal Provider Number
265368
Provider Name
BIRCH VIEW NURSING CENTER
Provider Address
RR 2, BOX 2215
BIRCH TREE, MO 65438
BIRCH TREE, MO 65438
Provider Phone Number
5732923212
Provider SSA County
983
Provider County Name
Shannon
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICARE AT BIRCH TREE NURSING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-05-17
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
2.57317
Reported LPN Staffing Hours per Resident per Day
0.75732
Reported RN Staffing Hours per Resident per Day
0.80976
Reported Licensed Staffing Hours per Resident per Day
1.56707
Reported Total Nurse Staffing Hours per Resident per Day
4.14025
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01951
Expected CNA Staffing Hours per Resident per Day
2.33368
Expected LPN Staffing Hours per Resident per Day
0.61235
Expected RN Staffing Hours per Resident per Day
0.87656
Expected Total Nurse Staffing Hours per Resident per Day
3.82259
Adjusted CNA Staffing Hours per Resident per Day
2.70551
Adjusted LPN Staffing Hours per Resident per Day
1.02649
Adjusted RN Staffing Hours per Resident per Day
0.69026
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36587
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-07
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
37.33300
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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