Magnolia Square Nursing And Rehabilitation Center - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
265731
Provider Name
MAGNOLIA SQUARE NURSING AND REHABILITATION CENTER
Provider Address
1502 WEST EDGEWOOD
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
Provider Phone Number
(417) 877-7545
Provider SSA County
380
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAGNOLIA SQUARE NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2002-03-05
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
3.07385
Reported LPN Staffing Hours per Resident per Day
0.70367
Reported RN Staffing Hours per Resident per Day
0.70046
Reported Licensed Staffing Hours per Resident per Day
1.40413
Reported Total Nurse Staffing Hours per Resident per Day
4.47798
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04908
Expected CNA Staffing Hours per Resident per Day
2.23376
Expected LPN Staffing Hours per Resident per Day
0.59699
Expected RN Staffing Hours per Resident per Day
0.90749
Expected Total Nurse Staffing Hours per Resident per Day
3.73824
Adjusted CNA Staffing Hours per Resident per Day
3.37650
Adjusted LPN Staffing Hours per Resident per Day
0.97832
Adjusted RN Staffing Hours per Resident per Day
0.57674
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82855
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
16
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
16
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-29
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.00000
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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