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Friendship Manor Health Care - Nashville Nursing Home

General Information

UPDATE
Federal Provider Number
146043
Provider Name
FRIENDSHIP MANOR HEALTH CARE
Provider Address
485 SOUTH FRIENDSHIP DRIVE
NASHVILLE, IL 62263
Provider Phone Number
6183273041
Provider SSA County
985
Provider County Name
Washington
Ownership Type
For profit - Partnership
Number of Certified Beds
230
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRIENDSHIP MANOR GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
2003-02-04
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
1.52404
Reported LPN Staffing Hours per Resident per Day
0.62644
Reported RN Staffing Hours per Resident per Day
0.54327
Reported Licensed Staffing Hours per Resident per Day
1.16971
Reported Total Nurse Staffing Hours per Resident per Day
2.69375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00913
Expected CNA Staffing Hours per Resident per Day
2.28874
Expected LPN Staffing Hours per Resident per Day
0.61810
Expected RN Staffing Hours per Resident per Day
1.09938
Expected Total Nurse Staffing Hours per Resident per Day
4.00622
Adjusted CNA Staffing Hours per Resident per Day
1.63388
Adjusted LPN Staffing Hours per Resident per Day
0.84119
Adjusted RN Staffing Hours per Resident per Day
0.36924
Adjusted Total Nurse Staffing Hours per Resident per Day
2.71034
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
24
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
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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