Chariton Park Health Care Center - Salisbury Nursing Home
General Information
UPDATEFederal Provider Number
265526
Provider Name
CHARITON PARK HEALTH CARE CENTER
Provider Address
902 MANOR DRIVE
SALISBURY, MO 65281
SALISBURY, MO 65281
Provider Phone Number
(660) 388-6486
Provider SSA County
200
Provider County Name
Chariton
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
120
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHARITON PARK HEALTH CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-03-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.51215
Reported LPN Staffing Hours per Resident per Day
0.47243
Reported RN Staffing Hours per Resident per Day
0.32523
Reported Licensed Staffing Hours per Resident per Day
0.79766
Reported Total Nurse Staffing Hours per Resident per Day
2.30981
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00607
Expected CNA Staffing Hours per Resident per Day
1.74831
Expected LPN Staffing Hours per Resident per Day
0.52423
Expected RN Staffing Hours per Resident per Day
0.70015
Expected Total Nurse Staffing Hours per Resident per Day
2.97268
Adjusted CNA Staffing Hours per Resident per Day
2.12226
Adjusted LPN Staffing Hours per Resident per Day
0.74799
Adjusted RN Staffing Hours per Resident per Day
0.34708
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13206
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-14
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
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
127
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
127
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
135
Cycle 3 Standard Health Survey Date
2012-08-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
135
Total Weighted Health Survey Score
86.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
15316
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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