Heisinger Lutheran Home - Jefferson City Nursing Home
General Information
UPDATEFederal Provider Number
265794
Provider Name
HEISINGER LUTHERAN HOME
Provider Address
1002 WEST MAIN STREET
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
Provider Phone Number
(573) 636-6288
Provider SSA County
250
Provider County Name
Cole
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
20
Number of Residents in Certified Beds
20
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLE COUNTY LUTHERAN HOME ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
2005-01-05
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
2.85500
Reported LPN Staffing Hours per Resident per Day
1.06250
Reported RN Staffing Hours per Resident per Day
0.63000
Reported Licensed Staffing Hours per Resident per Day
1.69250
Reported Total Nurse Staffing Hours per Resident per Day
4.54750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.42583
Expected LPN Staffing Hours per Resident per Day
0.50444
Expected RN Staffing Hours per Resident per Day
0.66120
Expected Total Nurse Staffing Hours per Resident per Day
3.59148
Adjusted CNA Staffing Hours per Resident per Day
2.88780
Adjusted LPN Staffing Hours per Resident per Day
1.74821
Adjusted RN Staffing Hours per Resident per Day
0.71194
Adjusted Total Nurse Staffing Hours per Resident per Day
5.10389
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-05-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
17.33300
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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