Country Aire Retirement Estates - Lewistown Nursing Home
General Information
UPDATEFederal Provider Number
265474
Provider Name
COUNTRY AIRE RETIREMENT ESTATES
Provider Address
18540 STATE HIGHWAY 16
LEWISTOWN, MO 63452
LEWISTOWN, MO 63452
Provider Phone Number
5732152216
Provider SSA County
541
Provider County Name
Lewis
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHCA, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-11-14
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
4
QM Rating Footnote
Staffing Rating
4
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
1.92439
Reported LPN Staffing Hours per Resident per Day
0.61341
Reported RN Staffing Hours per Resident per Day
0.86463
Reported Licensed Staffing Hours per Resident per Day
1.47805
Reported Total Nurse Staffing Hours per Resident per Day
3.40243
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13902
Expected CNA Staffing Hours per Resident per Day
2.05058
Expected LPN Staffing Hours per Resident per Day
0.56625
Expected RN Staffing Hours per Resident per Day
0.80149
Expected Total Nurse Staffing Hours per Resident per Day
3.41832
Adjusted CNA Staffing Hours per Resident per Day
2.30270
Adjusted LPN Staffing Hours per Resident per Day
0.89913
Adjusted RN Staffing Hours per Resident per Day
0.80607
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01217
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
2014-05-19
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
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-04-25
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
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
28.66700
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
Nursiong Homes Nearby
La Belle Manor Care Center
1002 Central |
LA BELLE MO 63447 | 7.2 miles away
Lewis County Nursing Home District
Po Box 266, 17528 State Highway 81 |
CANTON MO 63435 | 13.8 miles away
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