Camelot Nursing And Rehabilitation Center - Farmington Nursing Home
General Information
UPDATEFederal Provider Number
265348
Provider Name
CAMELOT NURSING AND REHABILITATION CENTER
Provider Address
705 GRAND CANYON DRIVE
FARMINGTON, MO 63640
FARMINGTON, MO 63640
Provider Phone Number
(573) 756-8911
Provider SSA County
930
Provider County Name
St. Francois
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BHM MEDICAL FACILITIES, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-01-01
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
4
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
2.83258
Reported LPN Staffing Hours per Resident per Day
0.78636
Reported RN Staffing Hours per Resident per Day
0.57121
Reported Licensed Staffing Hours per Resident per Day
1.35758
Reported Total Nurse Staffing Hours per Resident per Day
4.19015
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16136
Expected CNA Staffing Hours per Resident per Day
2.20821
Expected LPN Staffing Hours per Resident per Day
0.59335
Expected RN Staffing Hours per Resident per Day
0.95298
Expected Total Nurse Staffing Hours per Resident per Day
3.75454
Adjusted CNA Staffing Hours per Resident per Day
3.14748
Adjusted LPN Staffing Hours per Resident per Day
1.10000
Adjusted RN Staffing Hours per Resident per Day
0.44786
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49857
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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