Columbia Manor Care Center - Columbia Nursing Home
General Information
UPDATEFederal Provider Number
265778
Provider Name
COLUMBIA MANOR CARE CENTER
Provider Address
2012 NIFONG BOULEVARD
COLUMBIA, MO 65201
COLUMBIA, MO 65201
Provider Phone Number
(573) 449-1246
Provider SSA County
90
Provider County Name
Boone
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLUMBIA MANOR INC
Date First Approved to Provide Medicare and Medicaid services
2004-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.90455
Reported LPN Staffing Hours per Resident per Day
1.30758
Reported RN Staffing Hours per Resident per Day
1.28636
Reported Licensed Staffing Hours per Resident per Day
2.59394
Reported Total Nurse Staffing Hours per Resident per Day
7.49849
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09091
Expected CNA Staffing Hours per Resident per Day
2.33998
Expected LPN Staffing Hours per Resident per Day
0.71121
Expected RN Staffing Hours per Resident per Day
1.22525
Expected Total Nurse Staffing Hours per Resident per Day
4.27644
Adjusted CNA Staffing Hours per Resident per Day
5.14289
Adjusted LPN Staffing Hours per Resident per Day
1.52598
Adjusted RN Staffing Hours per Resident per Day
0.78447
Adjusted Total Nurse Staffing Hours per Resident per Day
7.06795
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
28
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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