Claru Deville Nursing Center - Fredericktown Nursing Home

General Information

UPDATE
Federal Provider Number
265514
Provider Name
CLARU DEVILLE NURSING CENTER
Provider Address
105 SPRUCE STREET
FREDERICKTOWN, MO 63645
Provider Phone Number
(573) 783-3993
Provider SSA County
601
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF FREDERICKTOWN, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-11-16
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.14286
Reported LPN Staffing Hours per Resident per Day
0.34500
Reported RN Staffing Hours per Resident per Day
0.58286
Reported Licensed Staffing Hours per Resident per Day
0.92786
Reported Total Nurse Staffing Hours per Resident per Day
3.07072
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01643
Expected CNA Staffing Hours per Resident per Day
1.91105
Expected LPN Staffing Hours per Resident per Day
0.52924
Expected RN Staffing Hours per Resident per Day
0.74842
Expected Total Nurse Staffing Hours per Resident per Day
3.18870
Adjusted CNA Staffing Hours per Resident per Day
2.75133
Adjusted LPN Staffing Hours per Resident per Day
0.54106
Adjusted RN Staffing Hours per Resident per Day
0.58191
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88176
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
58.66700
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
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Nursiong Homes Nearby

Madison Medical Center

611 West Main Street, Po Box 431 | FREDERICKTOWN MO 63645 | 1 mile away