Lawrence County Manor - Mount Vernon Nursing Home
General Information
UPDATEFederal Provider Number
265752
Provider Name
LAWRENCE COUNTY MANOR
Provider Address
915 CARL ALLEN STREET
MOUNT VERNON, MO 65712
MOUNT VERNON, MO 65712
Provider Phone Number
(417) 466-2183
Provider SSA County
540
Provider County Name
Lawrence
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
90
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAWRENCE COUNTY NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid services
2003-03-01
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.20100
Reported LPN Staffing Hours per Resident per Day
0.74700
Reported RN Staffing Hours per Resident per Day
0.54000
Reported Licensed Staffing Hours per Resident per Day
1.28700
Reported Total Nurse Staffing Hours per Resident per Day
4.48800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01300
Expected CNA Staffing Hours per Resident per Day
2.43374
Expected LPN Staffing Hours per Resident per Day
0.66733
Expected RN Staffing Hours per Resident per Day
0.99121
Expected Total Nurse Staffing Hours per Resident per Day
4.09228
Adjusted CNA Staffing Hours per Resident per Day
3.22725
Adjusted LPN Staffing Hours per Resident per Day
0.92909
Adjusted RN Staffing Hours per Resident per Day
0.40707
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42069
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-12-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
86.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
18
Number of Fines
1
Total Amount of Fines in Dollars
2470
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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