Livingston Manor Care Center - Chillicothe Nursing Home
General Information
UPDATEFederal Provider Number
265621
Provider Name
LIVINGSTON MANOR CARE CENTER
Provider Address
939 EAST BIRCH
CHILLICOTHE, MO 64601
CHILLICOTHE, MO 64601
Provider Phone Number
(660) 646-5177
Provider SSA County
580
Provider County Name
Livingston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIVINGSTON MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
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
3
Health Inspection Rating Footnote
QM Rating
2
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
3.16622
Reported LPN Staffing Hours per Resident per Day
0.49865
Reported RN Staffing Hours per Resident per Day
0.74865
Reported Licensed Staffing Hours per Resident per Day
1.24730
Reported Total Nurse Staffing Hours per Resident per Day
4.41352
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00946
Expected CNA Staffing Hours per Resident per Day
2.49555
Expected LPN Staffing Hours per Resident per Day
0.60339
Expected RN Staffing Hours per Resident per Day
0.87681
Expected Total Nurse Staffing Hours per Resident per Day
3.97575
Adjusted CNA Staffing Hours per Resident per Day
3.11312
Adjusted LPN Staffing Hours per Resident per Day
0.68593
Adjusted RN Staffing Hours per Resident per Day
0.63799
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47474
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
32
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-05-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
30.66700
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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