Brent B Tinnin Manor - Ellington Nursing Home
General Information
UPDATEFederal Provider Number
265472
Provider Name
BRENT B TINNIN MANOR
Provider Address
220 EUEL POLK DRIVE
ELLINGTON, MO 63638
ELLINGTON, MO 63638
Provider Phone Number
5736632545
Provider SSA County
881
Provider County Name
Reynolds
Ownership Type
For profit - Individual
Number of Certified Beds
60
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELLINGTON 1 INC
Date First Approved to Provide Medicare and Medicaid services
1991-10-21
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
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.70000
Reported LPN Staffing Hours per Resident per Day
0.95417
Reported RN Staffing Hours per Resident per Day
0.84167
Reported Licensed Staffing Hours per Resident per Day
1.79583
Reported Total Nurse Staffing Hours per Resident per Day
4.49584
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02292
Expected CNA Staffing Hours per Resident per Day
2.03335
Expected LPN Staffing Hours per Resident per Day
0.57213
Expected RN Staffing Hours per Resident per Day
0.77165
Expected Total Nurse Staffing Hours per Resident per Day
3.37712
Adjusted CNA Staffing Hours per Resident per Day
3.25817
Adjusted LPN Staffing Hours per Resident per Day
1.38424
Adjusted RN Staffing Hours per Resident per Day
0.81500
Adjusted Total Nurse Staffing Hours per Resident per Day
5.36619
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-20
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-04-03
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-02-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
33.33300
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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