Heartland Of Willow Lane - Butler Nursing Home
General Information
UPDATEFederal Provider Number
265275
Provider Name
HEARTLAND OF WILLOW LANE
Provider Address
416 SOUTH HIGH STREET
BUTLER, MO 64730
BUTLER, MO 64730
Provider Phone Number
(660) 679-6158
Provider SSA County
60
Provider County Name
Bates
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND-WILLOW LANE OF BUTLER MO LLC
Date First Approved to Provide Medicare and Medicaid services
1985-03-11
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.98617
Reported LPN Staffing Hours per Resident per Day
0.82021
Reported RN Staffing Hours per Resident per Day
0.92979
Reported Licensed Staffing Hours per Resident per Day
1.75000
Reported Total Nurse Staffing Hours per Resident per Day
3.73617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13511
Expected CNA Staffing Hours per Resident per Day
2.20730
Expected LPN Staffing Hours per Resident per Day
0.59468
Expected RN Staffing Hours per Resident per Day
0.83908
Expected Total Nurse Staffing Hours per Resident per Day
3.64106
Adjusted CNA Staffing Hours per Resident per Day
2.20789
Adjusted LPN Staffing Hours per Resident per Day
1.14478
Adjusted RN Staffing Hours per Resident per Day
0.82798
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13620
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
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
64
Total Weighted Health Survey Score
36.66700
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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