Life Care Center Of Waynesville - Waynesville Nursing Home
General Information
UPDATEFederal Provider Number
265373
Provider Name
LIFE CARE CENTER OF WAYNESVILLE
Provider Address
700 BIRCH LANE
WAYNESVILLE, MO 65583
WAYNESVILLE, MO 65583
Provider Phone Number
(573) 774-6456
Provider SSA County
840
Provider County Name
Pulaski
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAYNESVILLE MEDICAL INVESTORS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-26
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
1.88533
Reported LPN Staffing Hours per Resident per Day
0.71196
Reported RN Staffing Hours per Resident per Day
0.77283
Reported Licensed Staffing Hours per Resident per Day
1.48478
Reported Total Nurse Staffing Hours per Resident per Day
3.37012
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05435
Expected CNA Staffing Hours per Resident per Day
2.46129
Expected LPN Staffing Hours per Resident per Day
0.60859
Expected RN Staffing Hours per Resident per Day
0.91747
Expected Total Nurse Staffing Hours per Resident per Day
3.98735
Adjusted CNA Staffing Hours per Resident per Day
1.87951
Adjusted LPN Staffing Hours per Resident per Day
0.97098
Adjusted RN Staffing Hours per Resident per Day
0.62941
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40693
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
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
16
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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