Lewis County Nursing Home District - Canton Nursing Home
General Information
UPDATEFederal Provider Number
265360
Provider Name
LEWIS COUNTY NURSING HOME DISTRICT
Provider Address
PO BOX 266, 17528 STATE HIGHWAY 81
CANTON, MO 63435
CANTON, MO 63435
Provider Phone Number
(573) 288-4454
Provider SSA County
541
Provider County Name
Lewis
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
118
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEWIS COUNTY NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1989-04-18
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
3
Health Inspection Rating Footnote
QM Rating
3
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
2.89766
Reported LPN Staffing Hours per Resident per Day
0.56953
Reported RN Staffing Hours per Resident per Day
0.59922
Reported Licensed Staffing Hours per Resident per Day
1.16875
Reported Total Nurse Staffing Hours per Resident per Day
4.06641
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01484
Expected CNA Staffing Hours per Resident per Day
2.27462
Expected LPN Staffing Hours per Resident per Day
0.59140
Expected RN Staffing Hours per Resident per Day
0.77942
Expected Total Nurse Staffing Hours per Resident per Day
3.64544
Adjusted CNA Staffing Hours per Resident per Day
3.12579
Adjusted LPN Staffing Hours per Resident per Day
0.79931
Adjusted RN Staffing Hours per Resident per Day
0.57445
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49639
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
20
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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