Dixon Nursing & Rehab - Dixon Nursing Home
General Information
UPDATEFederal Provider Number
265418
Provider Name
DIXON NURSING & REHAB
Provider Address
403 EAST 10TH STREET
DIXON, MO 65459
DIXON, MO 65459
Provider Phone Number
(573) 759-2135
Provider SSA County
840
Provider County Name
Pulaski
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF DIXON, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-02-07
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.44625
Reported LPN Staffing Hours per Resident per Day
0.65625
Reported RN Staffing Hours per Resident per Day
0.81500
Reported Licensed Staffing Hours per Resident per Day
1.47125
Reported Total Nurse Staffing Hours per Resident per Day
3.91750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01250
Expected CNA Staffing Hours per Resident per Day
2.30803
Expected LPN Staffing Hours per Resident per Day
0.59971
Expected RN Staffing Hours per Resident per Day
0.86007
Expected Total Nurse Staffing Hours per Resident per Day
3.76781
Adjusted CNA Staffing Hours per Resident per Day
2.60064
Adjusted LPN Staffing Hours per Resident per Day
0.90825
Adjusted RN Staffing Hours per Resident per Day
0.70804
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19104
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-25
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
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-07-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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