Lutheran Home, The - Cape Girardeau Nursing Home
General Information
UPDATEFederal Provider Number
265359
Provider Name
LUTHERAN HOME, THE
Provider Address
2825 BLOOMFIELD ROAD
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
Provider Phone Number
(573) 335-0158
Provider SSA County
150
Provider County Name
Cape Girardeau
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
274
Number of Residents in Certified Beds
169
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HOME FOR THE AGED
Date First Approved to Provide Medicare and Medicaid services
1989-04-11
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.70947
Reported LPN Staffing Hours per Resident per Day
0.83609
Reported RN Staffing Hours per Resident per Day
0.63462
Reported Licensed Staffing Hours per Resident per Day
1.47071
Reported Total Nurse Staffing Hours per Resident per Day
4.18018
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04349
Expected CNA Staffing Hours per Resident per Day
2.28545
Expected LPN Staffing Hours per Resident per Day
0.59651
Expected RN Staffing Hours per Resident per Day
0.93582
Expected Total Nurse Staffing Hours per Resident per Day
3.81778
Adjusted CNA Staffing Hours per Resident per Day
2.90894
Adjusted LPN Staffing Hours per Resident per Day
1.16336
Adjusted RN Staffing Hours per Resident per Day
0.50671
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41353
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
170
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
170
Total Weighted Health Survey Score
67.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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