Fountainbleau Lodge - Cape Girardeau Nursing Home

General Information

UPDATE
Federal Provider Number
265383
Provider Name
FOUNTAINBLEAU LODGE
Provider Address
2001 NORTH KINGSHIGHWAY
CAPE GIRARDEAU, MO 63701
Provider Phone Number
(573) 335-1999
Provider SSA County
150
Provider County Name
Cape Girardeau
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
33
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-08-11
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
4.02424
Reported LPN Staffing Hours per Resident per Day
1.02576
Reported RN Staffing Hours per Resident per Day
0.71818
Reported Licensed Staffing Hours per Resident per Day
1.74394
Reported Total Nurse Staffing Hours per Resident per Day
5.76818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03636
Expected CNA Staffing Hours per Resident per Day
2.52845
Expected LPN Staffing Hours per Resident per Day
0.60533
Expected RN Staffing Hours per Resident per Day
0.89628
Expected Total Nurse Staffing Hours per Resident per Day
4.03005
Adjusted CNA Staffing Hours per Resident per Day
3.90527
Adjusted LPN Staffing Hours per Resident per Day
1.40648
Adjusted RN Staffing Hours per Resident per Day
0.59873
Adjusted Total Nurse Staffing Hours per Resident per Day
5.76940
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
28
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
200
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
200
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
131.33300
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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