Madison Medical Center - Fredericktown Nursing Home
General Information
UPDATEFederal Provider Number
265561
Provider Name
MADISON MEDICAL CENTER
Provider Address
611 WEST MAIN STREET, PO BOX 431
FREDERICKTOWN, MO 63645
FREDERICKTOWN, MO 63645
Provider Phone Number
(573) 783-3341
Provider SSA County
601
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
119
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1993-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.08521
Reported LPN Staffing Hours per Resident per Day
1.00211
Reported RN Staffing Hours per Resident per Day
0.84859
Reported Licensed Staffing Hours per Resident per Day
1.85070
Reported Total Nurse Staffing Hours per Resident per Day
4.93591
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16127
Expected CNA Staffing Hours per Resident per Day
2.33590
Expected LPN Staffing Hours per Resident per Day
0.57587
Expected RN Staffing Hours per Resident per Day
0.79164
Expected Total Nurse Staffing Hours per Resident per Day
3.70341
Adjusted CNA Staffing Hours per Resident per Day
3.24079
Adjusted LPN Staffing Hours per Resident per Day
1.44434
Adjusted RN Staffing Hours per Resident per Day
0.80095
Adjusted Total Nurse Staffing Hours per Resident per Day
5.37238
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-02-07
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
25.33300
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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Nursiong Homes Nearby
Claru Deville Nursing Center
105 Spruce Street |
FREDERICKTOWN MO 63645 | 1 mile away