Luther Manor Retirement & Nursing Center - Hannibal Nursing Home
General Information
UPDATEFederal Provider Number
265690
Provider Name
LUTHER MANOR RETIREMENT & NURSING CENTER
Provider Address
3170 HIGHWAY 61 NORTH
HANNIBAL, MO 63401
HANNIBAL, MO 63401
Provider Phone Number
(573) 221-5533
Provider SSA County
630
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHER MANOR ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
1997-12-11
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.04737
Reported LPN Staffing Hours per Resident per Day
0.67982
Reported RN Staffing Hours per Resident per Day
0.40702
Reported Licensed Staffing Hours per Resident per Day
1.08684
Reported Total Nurse Staffing Hours per Resident per Day
3.13421
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02719
Expected CNA Staffing Hours per Resident per Day
2.25494
Expected LPN Staffing Hours per Resident per Day
0.63894
Expected RN Staffing Hours per Resident per Day
0.95843
Expected Total Nurse Staffing Hours per Resident per Day
3.85232
Adjusted CNA Staffing Hours per Resident per Day
2.22783
Adjusted LPN Staffing Hours per Resident per Day
0.88310
Adjusted RN Staffing Hours per Resident per Day
0.31732
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27950
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-12-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
14
Cycle 3 Total Health Score
42
Total Weighted Health Survey Score
49.00000
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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