Country Club Care Center Of Warrensburg - Warrensburg Nursing Home
General Information
UPDATEFederal Provider Number
265645
Provider Name
COUNTRY CLUB CARE CENTER OF WARRENSBURG
Provider Address
503 REGENT DRIVE
WARRENSBURG, MO 64093
WARRENSBURG, MO 64093
Provider Phone Number
(660) 429-4444
Provider SSA County
500
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
73
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY CLUB CARE CENTER OF WARRENSBURG L C
Date First Approved to Provide Medicare and Medicaid services
1996-05-09
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.86140
Reported LPN Staffing Hours per Resident per Day
0.82105
Reported RN Staffing Hours per Resident per Day
0.46140
Reported Licensed Staffing Hours per Resident per Day
1.28246
Reported Total Nurse Staffing Hours per Resident per Day
3.14385
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07544
Expected CNA Staffing Hours per Resident per Day
2.03736
Expected LPN Staffing Hours per Resident per Day
0.59075
Expected RN Staffing Hours per Resident per Day
0.96137
Expected Total Nurse Staffing Hours per Resident per Day
3.58948
Adjusted CNA Staffing Hours per Resident per Day
2.24179
Adjusted LPN Staffing Hours per Resident per Day
1.15357
Adjusted RN Staffing Hours per Resident per Day
0.35861
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53047
Cycle 1 Total Number of Health Deficiencies
30
Cycle 1 Number of Standard Health Deficiencies
30
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
184
Cycle 1 Standard Survey Health Date
2014-11-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
184
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
106.66700
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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