Gasconade Manor Nursing Home - Owensville Nursing Home
General Information
UPDATEFederal Provider Number
265546
Provider Name
GASCONADE MANOR NURSING HOME
Provider Address
1910 NURSING HOME ROAD, PO BOX 520
OWENSVILLE, MO 65066
OWENSVILLE, MO 65066
Provider Phone Number
(573) 437-4101
Provider SSA County
360
Provider County Name
Gasconade
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
79
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GASCONADE MANOR NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1993-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
2.86364
Reported LPN Staffing Hours per Resident per Day
0.43106
Reported RN Staffing Hours per Resident per Day
0.26364
Reported Licensed Staffing Hours per Resident per Day
0.69470
Reported Total Nurse Staffing Hours per Resident per Day
3.55834
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08636
Expected CNA Staffing Hours per Resident per Day
2.27156
Expected LPN Staffing Hours per Resident per Day
0.58045
Expected RN Staffing Hours per Resident per Day
0.80283
Expected Total Nurse Staffing Hours per Resident per Day
3.65484
Adjusted CNA Staffing Hours per Resident per Day
3.09325
Adjusted LPN Staffing Hours per Resident per Day
0.61638
Adjusted RN Staffing Hours per Resident per Day
0.24537
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92447
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
2015-02-11
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-16
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
9.33300
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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