La Verna Village Nursing Home - Savannah Nursing Home
General Information
UPDATEFederal Provider Number
265787
Provider Name
LA VERNA VILLAGE NURSING HOME
Provider Address
904 HALL AVENUE, PO BOX 279
SAVANNAH, MO 64485
SAVANNAH, MO 64485
Provider Phone Number
8163243185
Provider SSA County
10
Provider County Name
Andrew
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHLV, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-07-08
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.18973
Reported LPN Staffing Hours per Resident per Day
0.48571
Reported RN Staffing Hours per Resident per Day
0.62188
Reported Licensed Staffing Hours per Resident per Day
1.10759
Reported Total Nurse Staffing Hours per Resident per Day
3.29732
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05089
Expected CNA Staffing Hours per Resident per Day
2.25816
Expected LPN Staffing Hours per Resident per Day
0.61992
Expected RN Staffing Hours per Resident per Day
0.95756
Expected Total Nurse Staffing Hours per Resident per Day
3.83565
Adjusted CNA Staffing Hours per Resident per Day
2.37934
Adjusted LPN Staffing Hours per Resident per Day
0.65031
Adjusted RN Staffing Hours per Resident per Day
0.48526
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46517
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-02-03
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
20
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Shady Lawn Living Center
13277 State Route D |
SAVANNAH MO 64485 | 3.5 miles away
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