Brookhaven Nursing & Rehab - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
265835
Provider Name
BROOKHAVEN NURSING & REHAB
Provider Address
3405 WEST MT VERNON
SPRINGFIELD, MO 65802
SPRINGFIELD, MO 65802
Provider Phone Number
(417) 874-9600
Provider SSA County
380
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF BROOKHAVEN LLC
Date First Approved to Provide Medicare and Medicaid services
2010-04-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
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
2.88873
Reported LPN Staffing Hours per Resident per Day
0.97535
Reported RN Staffing Hours per Resident per Day
0.54225
Reported Licensed Staffing Hours per Resident per Day
1.51761
Reported Total Nurse Staffing Hours per Resident per Day
4.40633
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.40168
Expected LPN Staffing Hours per Resident per Day
0.64503
Expected RN Staffing Hours per Resident per Day
0.99495
Expected Total Nurse Staffing Hours per Resident per Day
4.04166
Adjusted CNA Staffing Hours per Resident per Day
2.95130
Adjusted LPN Staffing Hours per Resident per Day
1.25503
Adjusted RN Staffing Hours per Resident per Day
0.40723
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39460
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
52
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-03-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
42.00000
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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