Manor, The - Poplar Bluff Nursing Home
General Information
UPDATEFederal Provider Number
265442
Provider Name
MANOR, THE
Provider Address
2071 BARRON RD
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
Provider Phone Number
(573) 686-1147
Provider SSA County
110
Provider County Name
Butler
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
90
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
POPLAR BLUFF NO 1 INC
Date First Approved to Provide Medicare and Medicaid services
1991-01-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
3.54789
Reported LPN Staffing Hours per Resident per Day
0.65493
Reported RN Staffing Hours per Resident per Day
0.36479
Reported Licensed Staffing Hours per Resident per Day
1.01972
Reported Total Nurse Staffing Hours per Resident per Day
4.56761
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06056
Expected CNA Staffing Hours per Resident per Day
2.26324
Expected LPN Staffing Hours per Resident per Day
0.53385
Expected RN Staffing Hours per Resident per Day
0.75074
Expected Total Nurse Staffing Hours per Resident per Day
3.54783
Adjusted CNA Staffing Hours per Resident per Day
3.84646
Adjusted LPN Staffing Hours per Resident per Day
1.01825
Adjusted RN Staffing Hours per Resident per Day
0.36307
Adjusted Total Nurse Staffing Hours per Resident per Day
5.18953
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-13
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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