Hermitage Nursing & Rehab - Hermitage Nursing Home

General Information

UPDATE
Federal Provider Number
265239
Provider Name
HERMITAGE NURSING & REHAB
Provider Address
FIRST AND HWY 54
HERMITAGE, MO 65668
Provider Phone Number
4177452111
Provider SSA County
411
Provider County Name
Hickory
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF HERMITAGE LLC
Date First Approved to Provide Medicare and Medicaid services
1984-07-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15114
Reported LPN Staffing Hours per Resident per Day
0.57443
Reported RN Staffing Hours per Resident per Day
0.37727
Reported Licensed Staffing Hours per Resident per Day
0.95170
Reported Total Nurse Staffing Hours per Resident per Day
3.10284
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06250
Expected CNA Staffing Hours per Resident per Day
2.39972
Expected LPN Staffing Hours per Resident per Day
0.58640
Expected RN Staffing Hours per Resident per Day
0.89899
Expected Total Nurse Staffing Hours per Resident per Day
3.88511
Adjusted CNA Staffing Hours per Resident per Day
2.19953
Adjusted LPN Staffing Hours per Resident per Day
0.81306
Adjusted RN Staffing Hours per Resident per Day
0.31357
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21928
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
28
Cycle 2 Standard Health Survey Date
2014-02-20
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
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
2013-03-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.00000
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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