Lebanon South Nursing & Rehab - Lebanon Nursing Home
General Information
UPDATEFederal Provider Number
265428
Provider Name
LEBANON SOUTH NURSING & REHAB
Provider Address
514 WEST FREMONT ROAD
LEBANON, MO 65536
LEBANON, MO 65536
Provider Phone Number
(417) 532-5351
Provider SSA County
520
Provider County Name
Laclede
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
116
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF LEBANON SOUTH LLC
Date First Approved to Provide Medicare and Medicaid services
1990-05-09
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.86517
Reported LPN Staffing Hours per Resident per Day
0.70225
Reported RN Staffing Hours per Resident per Day
0.59551
Reported Licensed Staffing Hours per Resident per Day
1.29775
Reported Total Nurse Staffing Hours per Resident per Day
4.16293
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05618
Expected CNA Staffing Hours per Resident per Day
2.51744
Expected LPN Staffing Hours per Resident per Day
0.64454
Expected RN Staffing Hours per Resident per Day
1.07361
Expected Total Nurse Staffing Hours per Resident per Day
4.23559
Adjusted CNA Staffing Hours per Resident per Day
2.79262
Adjusted LPN Staffing Hours per Resident per Day
0.90432
Adjusted RN Staffing Hours per Resident per Day
0.41446
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96175
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-06-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
5100
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Lebanon North Nursing & Rehab
596 Morton Road |
LEBANON MO 65536 | 2.1 miles away