Knox County Nursing Home District - Edina Nursing Home
General Information
UPDATEFederal Provider Number
265763
Provider Name
KNOX COUNTY NURSING HOME DISTRICT
Provider Address
ROUTE 3, BOX 53
EDINA, MO 63537
EDINA, MO 63537
Provider Phone Number
6603972282
Provider SSA County
510
Provider County Name
Knox
Ownership Type
Government - County
Number of Certified Beds
60
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KNOX COUNTY NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid services
2003-06-20
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
4
Health Inspection Rating Footnote
QM Rating
1
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
3.65227
Reported LPN Staffing Hours per Resident per Day
1.35682
Reported RN Staffing Hours per Resident per Day
0.88409
Reported Licensed Staffing Hours per Resident per Day
2.24091
Reported Total Nurse Staffing Hours per Resident per Day
5.89318
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04318
Expected CNA Staffing Hours per Resident per Day
2.18222
Expected LPN Staffing Hours per Resident per Day
0.61288
Expected RN Staffing Hours per Resident per Day
0.98721
Expected Total Nurse Staffing Hours per Resident per Day
3.78232
Adjusted CNA Staffing Hours per Resident per Day
4.10662
Adjusted LPN Staffing Hours per Resident per Day
1.83749
Adjusted RN Staffing Hours per Resident per Day
0.66915
Adjusted Total Nurse Staffing Hours per Resident per Day
6.28049
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-04-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-24
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-02-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
24.66700
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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