Caruthersville Nursing Center - Caruthersville Nursing Home
General Information
UPDATEFederal Provider Number
265771
Provider Name
CARUTHERSVILLE NURSING CENTER
Provider Address
500 TRUMAN BOULEVARD
CARUTHERSVILLE, MO 63830
CARUTHERSVILLE, MO 63830
Provider Phone Number
(573) 333-5150
Provider SSA County
770
Provider County Name
Pemiscot
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
94
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEMISCOT COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2003-12-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
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
2
Health Inspection Rating Footnote
QM Rating
1
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
2.80000
Reported LPN Staffing Hours per Resident per Day
1.33417
Reported RN Staffing Hours per Resident per Day
0.34417
Reported Licensed Staffing Hours per Resident per Day
1.67833
Reported Total Nurse Staffing Hours per Resident per Day
4.47834
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02750
Expected CNA Staffing Hours per Resident per Day
2.04849
Expected LPN Staffing Hours per Resident per Day
0.54439
Expected RN Staffing Hours per Resident per Day
0.65743
Expected Total Nurse Staffing Hours per Resident per Day
3.25032
Adjusted CNA Staffing Hours per Resident per Day
3.35386
Adjusted LPN Staffing Hours per Resident per Day
2.03413
Adjusted RN Staffing Hours per Resident per Day
0.39116
Adjusted Total Nurse Staffing Hours per Resident per Day
5.55384
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
99
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
99
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
55.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4908
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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