Greenville Nursing And Rehabilitation, Llc - Greenville Nursing Home
General Information
UPDATEFederal Provider Number
265547
Provider Name
GREENVILLE NURSING AND REHABILITATION, LLC
Provider Address
117 SYCAMORE STREET, PO BOX 108
GREENVILLE, MO 63944
GREENVILLE, MO 63944
Provider Phone Number
(573) 224-3298
Provider SSA County
993
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENVILLE NURSING AND REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
1993-11-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.42667
Reported LPN Staffing Hours per Resident per Day
0.61556
Reported RN Staffing Hours per Resident per Day
0.57222
Reported Licensed Staffing Hours per Resident per Day
1.18778
Reported Total Nurse Staffing Hours per Resident per Day
3.61445
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11444
Expected CNA Staffing Hours per Resident per Day
2.05520
Expected LPN Staffing Hours per Resident per Day
0.59569
Expected RN Staffing Hours per Resident per Day
0.96516
Expected Total Nurse Staffing Hours per Resident per Day
3.61605
Adjusted CNA Staffing Hours per Resident per Day
2.89720
Adjusted LPN Staffing Hours per Resident per Day
0.85769
Adjusted RN Staffing Hours per Resident per Day
0.44300
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02912
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-05
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
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
35.33300
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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