Missouri Nursing Homes >> Versailles Nursing Homes >> Good Shepherd Care Center

Good Shepherd Care Center - Versailles Nursing Home

General Information

UPDATE
Federal Provider Number
265528
Provider Name
GOOD SHEPHERD CARE CENTER
Provider Address
1101 WEST CLAY ROAD
VERSAILLES, MO 65084
Provider Phone Number
(573) 378-5411
Provider SSA County
700
Provider County Name
Morgan
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
117
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SHEPHERD CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1993-04-01
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
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
2.31667
Reported LPN Staffing Hours per Resident per Day
0.89278
Reported RN Staffing Hours per Resident per Day
0.33056
Reported Licensed Staffing Hours per Resident per Day
1.22333
Reported Total Nurse Staffing Hours per Resident per Day
3.54001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03556
Expected CNA Staffing Hours per Resident per Day
2.18503
Expected LPN Staffing Hours per Resident per Day
0.56986
Expected RN Staffing Hours per Resident per Day
0.86607
Expected Total Nurse Staffing Hours per Resident per Day
3.62096
Adjusted CNA Staffing Hours per Resident per Day
2.60153
Adjusted LPN Staffing Hours per Resident per Day
1.30033
Adjusted RN Staffing Hours per Resident per Day
0.28519
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94079
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
2015-01-08
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
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-24
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
16
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
8.00000
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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