Chaffee Nursing Center - Chaffee Nursing Home

General Information

UPDATE
Federal Provider Number
265492
Provider Name
CHAFFEE NURSING CENTER
Provider Address
12273 STATE HIGHWAY 77, PO BOX 68
CHAFFEE, MO 63740
Provider Phone Number
5738873615
Provider SSA County
982
Provider County Name
Scott
Ownership Type
For profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHAFFEE NURSING, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-03-09
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
3
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
2.23651
Reported LPN Staffing Hours per Resident per Day
0.66111
Reported RN Staffing Hours per Resident per Day
0.85238
Reported Licensed Staffing Hours per Resident per Day
1.51349
Reported Total Nurse Staffing Hours per Resident per Day
3.75000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06111
Expected CNA Staffing Hours per Resident per Day
2.28461
Expected LPN Staffing Hours per Resident per Day
0.58699
Expected RN Staffing Hours per Resident per Day
0.94927
Expected Total Nurse Staffing Hours per Resident per Day
3.82087
Adjusted CNA Staffing Hours per Resident per Day
2.40204
Adjusted LPN Staffing Hours per Resident per Day
0.93480
Adjusted RN Staffing Hours per Resident per Day
0.67094
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95613
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
16
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
18.66700
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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