Farmington Presbyterian Manor - Farmington Nursing Home
General Information
UPDATEFederal Provider Number
265583
Provider Name
FARMINGTON PRESBYTERIAN MANOR
Provider Address
500 CAYCE STREET
FARMINGTON, MO 63640
FARMINGTON, MO 63640
Provider Phone Number
(573) 756-6768
Provider SSA County
930
Provider County Name
St. Francois
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN MANORS INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
Continuing Care Retirement Community
Y
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
4
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
2.97039
Reported LPN Staffing Hours per Resident per Day
1.06776
Reported RN Staffing Hours per Resident per Day
1.05263
Reported Licensed Staffing Hours per Resident per Day
2.12039
Reported Total Nurse Staffing Hours per Resident per Day
5.09078
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08289
Expected CNA Staffing Hours per Resident per Day
2.48556
Expected LPN Staffing Hours per Resident per Day
0.58039
Expected RN Staffing Hours per Resident per Day
0.87580
Expected Total Nurse Staffing Hours per Resident per Day
3.94175
Adjusted CNA Staffing Hours per Resident per Day
2.93232
Adjusted LPN Staffing Hours per Resident per Day
1.52697
Adjusted RN Staffing Hours per Resident per Day
0.89806
Adjusted Total Nurse Staffing Hours per Resident per Day
5.20592
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-11
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
17.33300
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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