Frene Valley Of Hermann-a Stonebridge Community - Hermann Nursing Home
General Information
UPDATEFederal Provider Number
265651
Provider Name
FRENE VALLEY OF HERMANN-A STONEBRIDGE COMMUNITY
Provider Address
1800 WEIN STREET, PO BOX 468
HERMANN, MO 65041
HERMANN, MO 65041
Provider Phone Number
(573) 486-3155
Provider SSA County
360
Provider County Name
Gasconade
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
75
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
1996-07-10
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.76933
Reported LPN Staffing Hours per Resident per Day
0.56733
Reported RN Staffing Hours per Resident per Day
0.36733
Reported Licensed Staffing Hours per Resident per Day
0.93467
Reported Total Nurse Staffing Hours per Resident per Day
3.70399
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03067
Expected CNA Staffing Hours per Resident per Day
2.31661
Expected LPN Staffing Hours per Resident per Day
0.58184
Expected RN Staffing Hours per Resident per Day
0.85544
Expected Total Nurse Staffing Hours per Resident per Day
3.75390
Adjusted CNA Staffing Hours per Resident per Day
2.93321
Adjusted LPN Staffing Hours per Resident per Day
0.80930
Adjusted RN Staffing Hours per Resident per Day
0.32085
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97731
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
75
Cycle 1 Standard Survey Health Date
2015-04-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
75
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
12
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
44.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
7250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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