Jordan Creek Nursing & Rehab - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
265394
Provider Name
JORDAN CREEK NURSING & REHAB
Provider Address
910 SOUTH WEST AVE
SPRINGFIELD, MO 65802
SPRINGFIELD, MO 65802
Provider Phone Number
(417) 865-8741
Provider SSA County
380
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF GREENE HAVEN LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-21
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
4
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
2.13798
Reported LPN Staffing Hours per Resident per Day
0.41442
Reported RN Staffing Hours per Resident per Day
0.51154
Reported Licensed Staffing Hours per Resident per Day
0.92596
Reported Total Nurse Staffing Hours per Resident per Day
3.06394
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04760
Expected CNA Staffing Hours per Resident per Day
2.36509
Expected LPN Staffing Hours per Resident per Day
0.57203
Expected RN Staffing Hours per Resident per Day
0.87818
Expected Total Nurse Staffing Hours per Resident per Day
3.81531
Adjusted CNA Staffing Hours per Resident per Day
2.21808
Adjusted LPN Staffing Hours per Resident per Day
0.60131
Adjusted RN Staffing Hours per Resident per Day
0.43525
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23708
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
2013-05-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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