Grand River Health Care - Chillicothe Nursing Home
General Information
UPDATEFederal Provider Number
265480
Provider Name
GRAND RIVER HEALTH CARE
Provider Address
118 TRENTON ROAD
CHILLICOTHE, MO 64601
CHILLICOTHE, MO 64601
Provider Phone Number
(660) 646-0353
Provider SSA County
580
Provider County Name
Livingston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF CHILLICOTHE, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-01-08
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
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.43256
Reported LPN Staffing Hours per Resident per Day
0.43256
Reported RN Staffing Hours per Resident per Day
0.44186
Reported Licensed Staffing Hours per Resident per Day
0.87442
Reported Total Nurse Staffing Hours per Resident per Day
2.30698
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00465
Expected CNA Staffing Hours per Resident per Day
1.69910
Expected LPN Staffing Hours per Resident per Day
0.54253
Expected RN Staffing Hours per Resident per Day
0.68441
Expected Total Nurse Staffing Hours per Resident per Day
2.92603
Adjusted CNA Staffing Hours per Resident per Day
2.06879
Adjusted LPN Staffing Hours per Resident per Day
0.66176
Adjusted RN Staffing Hours per Resident per Day
0.48240
Adjusted Total Nurse Staffing Hours per Resident per Day
3.17810
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
20
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
20
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.00000
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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