Good Shepherd Nursing Home - Lockwood Nursing Home
General Information
UPDATEFederal Provider Number
265705
Provider Name
GOOD SHEPHERD NURSING HOME
Provider Address
200 WEST 12TH STREET
LOCKWOOD, MO 65682
LOCKWOOD, MO 65682
Provider Phone Number
4172324571
Provider SSA County
280
Provider County Name
Dade
Ownership Type
Non profit - Other
Number of Certified Beds
69
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SHEPHERD NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
2000-06-12
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.13061
Reported LPN Staffing Hours per Resident per Day
0.63673
Reported RN Staffing Hours per Resident per Day
0.67245
Reported Licensed Staffing Hours per Resident per Day
1.30918
Reported Total Nurse Staffing Hours per Resident per Day
5.43979
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01735
Expected CNA Staffing Hours per Resident per Day
2.22556
Expected LPN Staffing Hours per Resident per Day
0.55134
Expected RN Staffing Hours per Resident per Day
0.76502
Expected Total Nurse Staffing Hours per Resident per Day
3.54192
Adjusted CNA Staffing Hours per Resident per Day
4.55404
Adjusted LPN Staffing Hours per Resident per Day
0.95854
Adjusted RN Staffing Hours per Resident per Day
0.65679
Adjusted Total Nurse Staffing Hours per Resident per Day
6.19079
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
24
Cycle 1 Standard Survey Health Date
2014-09-12
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-08-15
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
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
3
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
Nursiong Homes Nearby
Dade County Nursing Home District
400 Broad Street |
GREENFIELD MO 65661 | 6.4 miles away
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