Brooke Haven Healthcare - West Plains Nursing Home
General Information
UPDATEFederal Provider Number
265400
Provider Name
BROOKE HAVEN HEALTHCARE
Provider Address
1410 NORTH KENTUCKY AVENUE
WEST PLAINS, MO 65775
WEST PLAINS, MO 65775
Provider Phone Number
(417) 256-7975
Provider SSA County
450
Provider County Name
Howell
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOW HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
1989-10-02
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
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67833
Reported LPN Staffing Hours per Resident per Day
1.00778
Reported RN Staffing Hours per Resident per Day
0.48000
Reported Licensed Staffing Hours per Resident per Day
1.48778
Reported Total Nurse Staffing Hours per Resident per Day
4.16611
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06333
Expected CNA Staffing Hours per Resident per Day
2.34922
Expected LPN Staffing Hours per Resident per Day
0.62774
Expected RN Staffing Hours per Resident per Day
1.01170
Expected Total Nurse Staffing Hours per Resident per Day
3.98866
Adjusted CNA Staffing Hours per Resident per Day
2.79745
Adjusted LPN Staffing Hours per Resident per Day
1.33248
Adjusted RN Staffing Hours per Resident per Day
0.35451
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21022
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
2014-11-21
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
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
2013-12-05
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
6.66700
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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