Kirksville Manor Care Center - Kirksville Nursing Home
General Information
UPDATEFederal Provider Number
265247
Provider Name
KIRKSVILLE MANOR CARE CENTER
Provider Address
1705 EAST LAHARPE
KIRKSVILLE, MO 63501
KIRKSVILLE, MO 63501
Provider Phone Number
(660) 665-3774
Provider SSA County
0
Provider County Name
Adair
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
119
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KIRKSVILLE MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1984-09-26
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.25688
Reported LPN Staffing Hours per Resident per Day
0.96750
Reported RN Staffing Hours per Resident per Day
0.71063
Reported Licensed Staffing Hours per Resident per Day
1.67813
Reported Total Nurse Staffing Hours per Resident per Day
4.93501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05688
Expected CNA Staffing Hours per Resident per Day
2.13657
Expected LPN Staffing Hours per Resident per Day
0.58096
Expected RN Staffing Hours per Resident per Day
0.83481
Expected Total Nurse Staffing Hours per Resident per Day
3.55234
Adjusted CNA Staffing Hours per Resident per Day
3.74029
Adjusted LPN Staffing Hours per Resident per Day
1.38223
Adjusted RN Staffing Hours per Resident per Day
0.63606
Adjusted Total Nurse Staffing Hours per Resident per Day
5.59984
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-21
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
14.00000
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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Nursiong Homes Nearby
Twin Pines Adult Care Center
316 South Osteopathy Street |
KIRKSVILLE MO 63501 | 1.4 miles away