Daviess County Nursing And Rehabilitation - Gallatin Nursing Home
General Information
UPDATEFederal Provider Number
265729
Provider Name
DAVIESS COUNTY NURSING AND REHABILITATION
Provider Address
1337 WEST GRAND
GALLATIN, MO 64640
GALLATIN, MO 64640
Provider Phone Number
6606632197
Provider SSA County
300
Provider County Name
Daviess
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE OSBY CORP
Date First Approved to Provide Medicare and Medicaid services
2002-01-07
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
3.53415
Reported LPN Staffing Hours per Resident per Day
0.46829
Reported RN Staffing Hours per Resident per Day
0.55244
Reported Licensed Staffing Hours per Resident per Day
1.02073
Reported Total Nurse Staffing Hours per Resident per Day
4.55488
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00854
Expected CNA Staffing Hours per Resident per Day
2.06166
Expected LPN Staffing Hours per Resident per Day
0.53280
Expected RN Staffing Hours per Resident per Day
0.78380
Expected Total Nurse Staffing Hours per Resident per Day
3.37826
Adjusted CNA Staffing Hours per Resident per Day
4.20619
Adjusted LPN Staffing Hours per Resident per Day
0.72951
Adjusted RN Staffing Hours per Resident per Day
0.52664
Adjusted Total Nurse Staffing Hours per Resident per Day
5.43483
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-06
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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