Charleston Manor - Charleston Nursing Home
General Information
UPDATEFederal Provider Number
265165
Provider Name
CHARLESTON MANOR
Provider Address
1220 EAST MARSHALL
CHARLESTON, MO 63834
CHARLESTON, MO 63834
Provider Phone Number
5736833721
Provider SSA County
660
Provider County Name
Mississippi
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF CHARLESTON LLC
Date First Approved to Provide Medicare and Medicaid services
1982-06-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.66636
Reported LPN Staffing Hours per Resident per Day
0.39000
Reported RN Staffing Hours per Resident per Day
0.50909
Reported Licensed Staffing Hours per Resident per Day
0.89909
Reported Total Nurse Staffing Hours per Resident per Day
3.56545
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01273
Expected CNA Staffing Hours per Resident per Day
2.09928
Expected LPN Staffing Hours per Resident per Day
0.56429
Expected RN Staffing Hours per Resident per Day
0.81555
Expected Total Nurse Staffing Hours per Resident per Day
3.47912
Adjusted CNA Staffing Hours per Resident per Day
3.11652
Adjusted LPN Staffing Hours per Resident per Day
0.57364
Adjusted RN Staffing Hours per Resident per Day
0.46642
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13092
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-26
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Nursiong Homes Nearby
Bertrand Nursing And Rehab Center
603 Highway 62 West |
BERTRAND MO 63823 | 7.1 miles away
East Prairie Nursing Center
186 Millar Road, Po Box 299 |
EAST PRAIRIE MO 63845 | 9.8 miles away
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