Lakeview Health Care & Rehabilitation Center - Boonville Nursing Home
General Information
UPDATEFederal Provider Number
265522
Provider Name
LAKEVIEW HEALTH CARE & REHABILITATION CENTER
Provider Address
1450 ASHLEY ROAD
BOONVILLE, MO 65233
BOONVILLE, MO 65233
Provider Phone Number
(660) 882-7007
Provider SSA County
260
Provider County Name
Cooper
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BOONVILLE #1 INC
Date First Approved to Provide Medicare and Medicaid services
1993-01-08
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.17000
Reported LPN Staffing Hours per Resident per Day
0.75000
Reported RN Staffing Hours per Resident per Day
0.76167
Reported Licensed Staffing Hours per Resident per Day
1.51167
Reported Total Nurse Staffing Hours per Resident per Day
3.68167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02333
Expected CNA Staffing Hours per Resident per Day
2.05461
Expected LPN Staffing Hours per Resident per Day
0.61492
Expected RN Staffing Hours per Resident per Day
0.83256
Expected Total Nurse Staffing Hours per Resident per Day
3.50209
Adjusted CNA Staffing Hours per Resident per Day
2.59150
Adjusted LPN Staffing Hours per Resident per Day
1.01233
Adjusted RN Staffing Hours per Resident per Day
0.68358
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23759
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-04
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
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
207
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
207
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
87.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
4778
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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