Cuba Manor Inc - Cuba Nursing Home
General Information
UPDATEFederal Provider Number
265652
Provider Name
CUBA MANOR INC
Provider Address
210 ELDON DRIVE
CUBA, MO 65453
CUBA, MO 65453
Provider Phone Number
5738854500
Provider SSA County
270
Provider County Name
Crawford
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CUBA MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-07-22
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
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.13413
Reported LPN Staffing Hours per Resident per Day
0.71111
Reported RN Staffing Hours per Resident per Day
0.52222
Reported Licensed Staffing Hours per Resident per Day
1.23333
Reported Total Nurse Staffing Hours per Resident per Day
3.36746
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.36228
Expected LPN Staffing Hours per Resident per Day
0.59975
Expected RN Staffing Hours per Resident per Day
0.84039
Expected Total Nurse Staffing Hours per Resident per Day
3.80242
Adjusted CNA Staffing Hours per Resident per Day
2.21672
Adjusted LPN Staffing Hours per Resident per Day
0.98411
Adjusted RN Staffing Hours per Resident per Day
0.46431
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56981
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-05-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-06-13
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
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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
Gibbs Care Center
311 North Spring Street |
STEELVILLE MO 65565 | 7.3 miles away
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