Frene Valley Of Owensville-a Stonebridge Community - Owensville Nursing Home
General Information
UPDATEFederal Provider Number
265670
Provider Name
FRENE VALLEY OF OWENSVILLE-A STONEBRIDGE COMMUNITY
Provider Address
1016 W HIGHWAY 28
OWENSVILLE, MO 65066
OWENSVILLE, MO 65066
Provider Phone Number
(573) 437-6877
Provider SSA County
360
Provider County Name
Gasconade
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELDERCARE OF MID-MISSOURI XIV INC
Date First Approved to Provide Medicare and Medicaid services
1997-03-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.91398
Reported LPN Staffing Hours per Resident per Day
0.71129
Reported RN Staffing Hours per Resident per Day
0.28172
Reported Licensed Staffing Hours per Resident per Day
0.99301
Reported Total Nurse Staffing Hours per Resident per Day
3.90699
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03065
Expected CNA Staffing Hours per Resident per Day
2.45287
Expected LPN Staffing Hours per Resident per Day
0.55098
Expected RN Staffing Hours per Resident per Day
0.82764
Expected Total Nurse Staffing Hours per Resident per Day
3.83149
Adjusted CNA Staffing Hours per Resident per Day
2.91497
Adjusted LPN Staffing Hours per Resident per Day
1.07149
Adjusted RN Staffing Hours per Resident per Day
0.25434
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11033
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
12
Cycle 1 Standard Survey Health Date
2014-12-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
28
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
21.33300
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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