Crystal Oaks - Festus Nursing Home
General Information
UPDATEFederal Provider Number
265369
Provider Name
CRYSTAL OAKS
Provider Address
1500 CALVARY CHURCH ROAD, PO BOX 680
FESTUS, MO 63028
FESTUS, MO 63028
Provider Phone Number
(636) 933-1818
Provider SSA County
490
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRYSTAL OAKS LONG TERM CARE
Date First Approved to Provide Medicare and Medicaid services
1989-06-01
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
5
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
2.86440
Reported LPN Staffing Hours per Resident per Day
0.94240
Reported RN Staffing Hours per Resident per Day
0.88640
Reported Licensed Staffing Hours per Resident per Day
1.82880
Reported Total Nurse Staffing Hours per Resident per Day
4.69320
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12520
Expected CNA Staffing Hours per Resident per Day
2.35550
Expected LPN Staffing Hours per Resident per Day
0.53777
Expected RN Staffing Hours per Resident per Day
0.85302
Expected Total Nurse Staffing Hours per Resident per Day
3.74629
Adjusted CNA Staffing Hours per Resident per Day
2.98381
Adjusted LPN Staffing Hours per Resident per Day
1.45452
Adjusted RN Staffing Hours per Resident per Day
0.77644
Adjusted Total Nurse Staffing Hours per Resident per Day
5.04975
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
28
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-27
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
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-03-11
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
26
Cycle 3 Total Health Score
78
Total Weighted Health Survey Score
32.33300
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
2
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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