Mark Twain Manor - Bridgeton Nursing Home
General Information
UPDATEFederal Provider Number
265236
Provider Name
MARK TWAIN MANOR
Provider Address
11988 MARK TWAIN LANE
BRIDGETON, MO 63044
BRIDGETON, MO 63044
Provider Phone Number
(314) 291-8240
Provider SSA County
940
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY CARE CENTER OF MARK TWAIN INC
Date First Approved to Provide Medicare and Medicaid services
1984-04-15
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.55833
Reported LPN Staffing Hours per Resident per Day
0.57292
Reported RN Staffing Hours per Resident per Day
0.49271
Reported Licensed Staffing Hours per Resident per Day
1.06563
Reported Total Nurse Staffing Hours per Resident per Day
3.62396
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05938
Expected CNA Staffing Hours per Resident per Day
2.38144
Expected LPN Staffing Hours per Resident per Day
0.60900
Expected RN Staffing Hours per Resident per Day
0.92078
Expected Total Nurse Staffing Hours per Resident per Day
3.91122
Adjusted CNA Staffing Hours per Resident per Day
2.63595
Adjusted LPN Staffing Hours per Resident per Day
0.78082
Adjusted RN Staffing Hours per Resident per Day
0.39983
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73485
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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