Lakeside Meadows-a Stonebridge Community - Osage Beach Nursing Home
General Information
UPDATEFederal Provider Number
265779
Provider Name
LAKESIDE MEADOWS-A STONEBRIDGE COMMUNITY
Provider Address
872 COLLEGE BOULEVARD
OSAGE BEACH, MO 65065
OSAGE BEACH, MO 65065
Provider Phone Number
(573) 302-0900
Provider SSA County
140
Provider County Name
Camden
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELDERCARE OF MID-MISSOURI V, INC.
Date First Approved to Provide Medicare and Medicaid services
2004-01-30
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.16509
Reported LPN Staffing Hours per Resident per Day
0.50849
Reported RN Staffing Hours per Resident per Day
0.49906
Reported Licensed Staffing Hours per Resident per Day
1.00755
Reported Total Nurse Staffing Hours per Resident per Day
4.17264
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08208
Expected CNA Staffing Hours per Resident per Day
2.47167
Expected LPN Staffing Hours per Resident per Day
0.59768
Expected RN Staffing Hours per Resident per Day
0.81378
Expected Total Nurse Staffing Hours per Resident per Day
3.88313
Adjusted CNA Staffing Hours per Resident per Day
3.14208
Adjusted LPN Staffing Hours per Resident per Day
0.70614
Adjusted RN Staffing Hours per Resident per Day
0.45823
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33143
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
56
Cycle 3 Standard Health Survey Date
2013-01-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
18.00000
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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