Lutheran Nursing Home - Concordia Nursing Home

General Information

UPDATE
Federal Provider Number
265765
Provider Name
LUTHERAN NURSING HOME
Provider Address
202 SOUTH WEST STREET, PO BOX 849
CONCORDIA, MO 64020
Provider Phone Number
6604632267
Provider SSA County
530
Provider County Name
Lafayette
Ownership Type
Non profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
2003-10-14
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
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
3.12898
Reported LPN Staffing Hours per Resident per Day
0.86477
Reported RN Staffing Hours per Resident per Day
0.46591
Reported Licensed Staffing Hours per Resident per Day
1.33068
Reported Total Nurse Staffing Hours per Resident per Day
4.45966
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02045
Expected CNA Staffing Hours per Resident per Day
2.16796
Expected LPN Staffing Hours per Resident per Day
0.53404
Expected RN Staffing Hours per Resident per Day
0.78924
Expected Total Nurse Staffing Hours per Resident per Day
3.49124
Adjusted CNA Staffing Hours per Resident per Day
3.54138
Adjusted LPN Staffing Hours per Resident per Day
1.34403
Adjusted RN Staffing Hours per Resident per Day
0.44109
Adjusted Total Nurse Staffing Hours per Resident per Day
5.14902
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
2013-10-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
36.66700
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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