Lacoba Homes Inc - Monett Nursing Home

General Information

UPDATE
Federal Provider Number
265634
Provider Name
LACOBA HOMES INC
Provider Address
850 HIGHWAY 60, PO BOX 885
MONETT, MO 65708
Provider Phone Number
(417) 235-7895
Provider SSA County
40
Provider County Name
Barry
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
72
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LACOBA HOMES INC
Date First Approved to Provide Medicare and Medicaid services
1996-02-15
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
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.22016
Reported LPN Staffing Hours per Resident per Day
0.33629
Reported RN Staffing Hours per Resident per Day
1.07419
Reported Licensed Staffing Hours per Resident per Day
1.41048
Reported Total Nurse Staffing Hours per Resident per Day
4.63064
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08306
Expected CNA Staffing Hours per Resident per Day
2.57355
Expected LPN Staffing Hours per Resident per Day
0.69780
Expected RN Staffing Hours per Resident per Day
1.12013
Expected Total Nurse Staffing Hours per Resident per Day
4.39148
Adjusted CNA Staffing Hours per Resident per Day
3.07020
Adjusted LPN Staffing Hours per Resident per Day
0.40000
Adjusted RN Staffing Hours per Resident per Day
0.71656
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25042
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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