Life Care Center Of Brookfield - Brookfield Nursing Home
General Information
UPDATEFederal Provider Number
265405
Provider Name
LIFE CARE CENTER OF BROOKFIELD
Provider Address
315 HUNT STREET
BROOKFIELD, MO 64628
BROOKFIELD, MO 64628
Provider Phone Number
(660) 258-3367
Provider SSA County
570
Provider County Name
Linn
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKFIELD MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.81566
Reported LPN Staffing Hours per Resident per Day
0.69458
Reported RN Staffing Hours per Resident per Day
0.88675
Reported Licensed Staffing Hours per Resident per Day
1.58133
Reported Total Nurse Staffing Hours per Resident per Day
3.39699
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17048
Expected CNA Staffing Hours per Resident per Day
2.43329
Expected LPN Staffing Hours per Resident per Day
0.64126
Expected RN Staffing Hours per Resident per Day
0.97298
Expected Total Nurse Staffing Hours per Resident per Day
4.04753
Adjusted CNA Staffing Hours per Resident per Day
1.83089
Adjusted LPN Staffing Hours per Resident per Day
0.89901
Adjusted RN Staffing Hours per Resident per Day
0.68098
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38303
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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