Country Meadows - Park Hills Nursing Home
General Information
UPDATEFederal Provider Number
265734
Provider Name
COUNTRY MEADOWS
Provider Address
1301 N ST JOE DRIVE
PARK HILLS, MO 63601
PARK HILLS, MO 63601
Provider Phone Number
(573) 431-2889
Provider SSA County
930
Provider County Name
St. Francois
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY MEADOWS NURSING & REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
2002-01-29
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.56967
Reported LPN Staffing Hours per Resident per Day
0.46803
Reported RN Staffing Hours per Resident per Day
0.62541
Reported Licensed Staffing Hours per Resident per Day
1.09344
Reported Total Nurse Staffing Hours per Resident per Day
3.66311
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.04964
Expected LPN Staffing Hours per Resident per Day
0.56427
Expected RN Staffing Hours per Resident per Day
0.87460
Expected Total Nurse Staffing Hours per Resident per Day
3.48851
Adjusted CNA Staffing Hours per Resident per Day
3.07625
Adjusted LPN Staffing Hours per Resident per Day
0.68844
Adjusted RN Staffing Hours per Resident per Day
0.53431
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23265
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-30
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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