Carriage Square Living & Rehab Center - Saint Joseph Nursing Home
General Information
UPDATEFederal Provider Number
265336
Provider Name
CARRIAGE SQUARE LIVING & REHAB CENTER
Provider Address
4009 GENE FIELD ROAD
SAINT JOSEPH, MO 64506
SAINT JOSEPH, MO 64506
Provider Phone Number
(816) 364-1526
Provider SSA County
100
Provider County Name
Buchanan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARRIAGE SQUARE LIVING & REHAB CENTER 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
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
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
4.13551
Reported LPN Staffing Hours per Resident per Day
1.03188
Reported RN Staffing Hours per Resident per Day
0.72464
Reported Licensed Staffing Hours per Resident per Day
1.75652
Reported Total Nurse Staffing Hours per Resident per Day
5.89203
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07681
Expected CNA Staffing Hours per Resident per Day
2.43595
Expected LPN Staffing Hours per Resident per Day
0.64524
Expected RN Staffing Hours per Resident per Day
0.92173
Expected Total Nurse Staffing Hours per Resident per Day
4.00293
Adjusted CNA Staffing Hours per Resident per Day
4.16564
Adjusted LPN Staffing Hours per Resident per Day
1.32735
Adjusted RN Staffing Hours per Resident per Day
0.58743
Adjusted Total Nurse Staffing Hours per Resident per Day
5.93321
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
2014-08-21
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
28
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
198
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
99
Cycle 3 Total Health Score
297
Total Weighted Health Survey Score
80.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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