Country View Nursing Facility, Inc - Bowling Green Nursing Home
General Information
UPDATEFederal Provider Number
265419
Provider Name
COUNTRY VIEW NURSING FACILITY, INC
Provider Address
2106 WEST MAIN, PO BOX 330
BOWLING GREEN, MO 63334
BOWLING GREEN, MO 63334
Provider Phone Number
(573) 324-2216
Provider SSA County
810
Provider County Name
Pike
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY VIEW NURSING FACILITY, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-02-06
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
3.09306
Reported LPN Staffing Hours per Resident per Day
0.91389
Reported RN Staffing Hours per Resident per Day
0.72778
Reported Licensed Staffing Hours per Resident per Day
1.64167
Reported Total Nurse Staffing Hours per Resident per Day
4.73473
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05556
Expected CNA Staffing Hours per Resident per Day
2.13733
Expected LPN Staffing Hours per Resident per Day
0.62528
Expected RN Staffing Hours per Resident per Day
0.87860
Expected Total Nurse Staffing Hours per Resident per Day
3.64121
Adjusted CNA Staffing Hours per Resident per Day
3.55089
Adjusted LPN Staffing Hours per Resident per Day
1.21310
Adjusted RN Staffing Hours per Resident per Day
0.61894
Adjusted Total Nurse Staffing Hours per Resident per Day
5.24145
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
24
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
40
Cycle 2 Standard Health Survey Date
2014-02-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
20
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
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
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