Manorcare Health Services - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
265188
Provider Name
MANORCARE HEALTH SERVICES
Provider Address
2915 SOUTH FREMONT
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
Provider Phone Number
(417) 883-4022
Provider SSA County
380
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
194
Number of Residents in Certified Beds
138
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF SPRINGFIELD MO LLC
Date First Approved to Provide Medicare and Medicaid services
1983-03-24
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
3
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
1.98551
Reported LPN Staffing Hours per Resident per Day
1.59022
Reported RN Staffing Hours per Resident per Day
0.68877
Reported Licensed Staffing Hours per Resident per Day
2.27899
Reported Total Nurse Staffing Hours per Resident per Day
4.26450
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12609
Expected CNA Staffing Hours per Resident per Day
2.43778
Expected LPN Staffing Hours per Resident per Day
0.62852
Expected RN Staffing Hours per Resident per Day
1.02202
Expected Total Nurse Staffing Hours per Resident per Day
4.08832
Adjusted CNA Staffing Hours per Resident per Day
1.99848
Adjusted LPN Staffing Hours per Resident per Day
2.09999
Adjusted RN Staffing Hours per Resident per Day
0.50356
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20460
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-24
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
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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