Maranatha Village, Inc - Springfield Nursing Home

General Information

UPDATE
Federal Provider Number
265475
Provider Name
MARANATHA VILLAGE, INC
Provider Address
233 EAST NORTON ROAD
SPRINGFIELD, MO 65803
Provider Phone Number
4178330016
Provider SSA County
380
Provider County Name
Greene
Ownership Type
Non profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARANATHA VILLAGE INC
Date First Approved to Provide Medicare and Medicaid services
1991-12-05
Continuing Care Retirement Community
Y
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
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
2.48389
Reported LPN Staffing Hours per Resident per Day
0.87056
Reported RN Staffing Hours per Resident per Day
0.45778
Reported Licensed Staffing Hours per Resident per Day
1.32833
Reported Total Nurse Staffing Hours per Resident per Day
3.81223
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08111
Expected CNA Staffing Hours per Resident per Day
2.46578
Expected LPN Staffing Hours per Resident per Day
0.64086
Expected RN Staffing Hours per Resident per Day
0.93274
Expected Total Nurse Staffing Hours per Resident per Day
4.03938
Adjusted CNA Staffing Hours per Resident per Day
2.47173
Adjusted LPN Staffing Hours per Resident per Day
1.12749
Adjusted RN Staffing Hours per Resident per Day
0.36672
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80423
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2014-03-10
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
8.66700
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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