Cori Manor Healthcare & Rehabilitation Center - Fenton Nursing Home
General Information
UPDATEFederal Provider Number
265395
Provider Name
CORI MANOR HEALTHCARE & REHABILITATION CENTER
Provider Address
560 CORISANDE HILLS ROAD
FENTON, MO 63026
FENTON, MO 63026
Provider Phone Number
6363432282
Provider SSA County
490
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORI MANOR HEALTHCARE & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-24
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.87773
Reported LPN Staffing Hours per Resident per Day
0.66765
Reported RN Staffing Hours per Resident per Day
0.33992
Reported Licensed Staffing Hours per Resident per Day
1.00756
Reported Total Nurse Staffing Hours per Resident per Day
2.88530
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00966
Expected CNA Staffing Hours per Resident per Day
1.94455
Expected LPN Staffing Hours per Resident per Day
0.57666
Expected RN Staffing Hours per Resident per Day
0.91689
Expected Total Nurse Staffing Hours per Resident per Day
3.43809
Adjusted CNA Staffing Hours per Resident per Day
2.36939
Adjusted LPN Staffing Hours per Resident per Day
0.96097
Adjusted RN Staffing Hours per Resident per Day
0.27701
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38279
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-16
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
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-04-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
17.33300
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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