Cedargate Healthcare - Poplar Bluff Nursing Home
General Information
UPDATEFederal Provider Number
265205
Provider Name
CEDARGATE HEALTHCARE
Provider Address
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
Provider Phone Number
(573) 785-0188
Provider SSA County
110
Provider County Name
Butler
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
108
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CEDARGATE HEALTHCARE GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1983-10-25
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
1.98417
Reported LPN Staffing Hours per Resident per Day
1.17750
Reported RN Staffing Hours per Resident per Day
0.72917
Reported Licensed Staffing Hours per Resident per Day
1.90667
Reported Total Nurse Staffing Hours per Resident per Day
3.89084
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02250
Expected CNA Staffing Hours per Resident per Day
2.18174
Expected LPN Staffing Hours per Resident per Day
0.60552
Expected RN Staffing Hours per Resident per Day
0.88433
Expected Total Nurse Staffing Hours per Resident per Day
3.67160
Adjusted CNA Staffing Hours per Resident per Day
2.23150
Adjusted LPN Staffing Hours per Resident per Day
1.61402
Adjusted RN Staffing Hours per Resident per Day
0.61610
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27159
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
27
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
20
Cycle 3 Health Deficiency Score
239
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
239
Total Weighted Health Survey Score
89.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
10224
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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