Fulton Presbyterian Manor - Fulton Nursing Home
General Information
UPDATEFederal Provider Number
265581
Provider Name
FULTON PRESBYTERIAN MANOR
Provider Address
811 CENTER STREET
FULTON, MO 65251
FULTON, MO 65251
Provider Phone Number
(573) 642-6646
Provider SSA County
130
Provider County Name
Callaway
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
36
Number of Residents in Certified Beds
26
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
5
Health Inspection Rating Footnote
QM Rating
4
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
4.12500
Reported LPN Staffing Hours per Resident per Day
1.99038
Reported RN Staffing Hours per Resident per Day
0.91154
Reported Licensed Staffing Hours per Resident per Day
2.90192
Reported Total Nurse Staffing Hours per Resident per Day
7.02692
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09038
Expected CNA Staffing Hours per Resident per Day
2.72358
Expected LPN Staffing Hours per Resident per Day
0.58369
Expected RN Staffing Hours per Resident per Day
0.86817
Expected Total Nurse Staffing Hours per Resident per Day
4.17544
Adjusted CNA Staffing Hours per Resident per Day
3.71625
Adjusted LPN Staffing Hours per Resident per Day
2.83032
Adjusted RN Staffing Hours per Resident per Day
0.78452
Adjusted Total Nurse Staffing Hours per Resident per Day
6.78367
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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