Lebanon North Nursing & Rehab - Lebanon Nursing Home
General Information
UPDATEFederal Provider Number
265123
Provider Name
LEBANON NORTH NURSING & REHAB
Provider Address
596 MORTON ROAD
LEBANON, MO 65536
LEBANON, MO 65536
Provider Phone Number
(417) 532-9173
Provider SSA County
520
Provider County Name
Laclede
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
180
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF LEBANON NORTH LLC
Date First Approved to Provide Medicare and Medicaid services
1976-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57500
Reported LPN Staffing Hours per Resident per Day
0.49948
Reported RN Staffing Hours per Resident per Day
0.31406
Reported Licensed Staffing Hours per Resident per Day
0.81354
Reported Total Nurse Staffing Hours per Resident per Day
3.38854
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03698
Expected CNA Staffing Hours per Resident per Day
2.22191
Expected LPN Staffing Hours per Resident per Day
0.64082
Expected RN Staffing Hours per Resident per Day
1.00495
Expected Total Nurse Staffing Hours per Resident per Day
3.86768
Adjusted CNA Staffing Hours per Resident per Day
2.84362
Adjusted LPN Staffing Hours per Resident per Day
0.64694
Adjusted RN Staffing Hours per Resident per Day
0.23351
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53154
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
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
2013-09-13
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
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-07-23
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
58
Cycle 3 Total Health Score
174
Total Weighted Health Survey Score
65.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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Nursiong Homes Nearby
Lebanon South Nursing & Rehab
514 West Fremont Road |
LEBANON MO 65536 | 2.1 miles away