Maries Manor - Vienna Nursing Home
General Information
UPDATEFederal Provider Number
265249
Provider Name
MARIES MANOR
Provider Address
174 BALLPARK ROAD
VIENNA, MO 65582
VIENNA, MO 65582
Provider Phone Number
5734223177
Provider SSA County
620
Provider County Name
Maries
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VIENNA NURSING & REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
1984-09-27
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.49403
Reported LPN Staffing Hours per Resident per Day
0.93657
Reported RN Staffing Hours per Resident per Day
0.36493
Reported Licensed Staffing Hours per Resident per Day
1.30149
Reported Total Nurse Staffing Hours per Resident per Day
3.79553
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05746
Expected CNA Staffing Hours per Resident per Day
2.13300
Expected LPN Staffing Hours per Resident per Day
0.57922
Expected RN Staffing Hours per Resident per Day
0.76331
Expected Total Nurse Staffing Hours per Resident per Day
3.47552
Adjusted CNA Staffing Hours per Resident per Day
2.86901
Adjusted LPN Staffing Hours per Resident per Day
1.34207
Adjusted RN Staffing Hours per Resident per Day
0.35723
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40204
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
143
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
20
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
69.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
6013
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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