Colonial Springs Healthcare Center - Buffalo Nursing Home

General Information

UPDATE
Federal Provider Number
265245
Provider Name
COLONIAL SPRINGS HEALTHCARE CENTER
Provider Address
750 WEST COOPER, PO BOX 978
BUFFALO, MO 65622
Provider Phone Number
(417) 345-2228
Provider SSA County
290
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Date First Approved to Provide Medicare and Medicaid services
1984-05-08
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.02772
Reported LPN Staffing Hours per Resident per Day
0.29059
Reported RN Staffing Hours per Resident per Day
0.63960
Reported Licensed Staffing Hours per Resident per Day
0.93020
Reported Total Nurse Staffing Hours per Resident per Day
2.95791
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11485
Expected CNA Staffing Hours per Resident per Day
2.36431
Expected LPN Staffing Hours per Resident per Day
0.56762
Expected RN Staffing Hours per Resident per Day
0.85071
Expected Total Nurse Staffing Hours per Resident per Day
3.78265
Adjusted CNA Staffing Hours per Resident per Day
2.10438
Adjusted LPN Staffing Hours per Resident per Day
0.42491
Adjusted RN Staffing Hours per Resident per Day
0.56178
Adjusted Total Nurse Staffing Hours per Resident per Day
3.15204
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-30
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
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
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