Meramec Nursing Center - Sullivan Nursing Home
General Information
UPDATEFederal Provider Number
265554
Provider Name
MERAMEC NURSING CENTER
Provider Address
940 MATTOX DRIVE
SULLIVAN, MO 63080
SULLIVAN, MO 63080
Provider Phone Number
5734687733
Provider SSA County
270
Provider County Name
Crawford
Ownership Type
For profit - Individual
Number of Certified Beds
60
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY CARE CTR OF SULLIVAN INC
Date First Approved to Provide Medicare and Medicaid services
1993-11-09
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
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48452
Reported LPN Staffing Hours per Resident per Day
0.65714
Reported RN Staffing Hours per Resident per Day
0.91190
Reported Licensed Staffing Hours per Resident per Day
1.56905
Reported Total Nurse Staffing Hours per Resident per Day
4.05356
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05119
Expected CNA Staffing Hours per Resident per Day
2.36332
Expected LPN Staffing Hours per Resident per Day
0.57642
Expected RN Staffing Hours per Resident per Day
0.87783
Expected Total Nurse Staffing Hours per Resident per Day
3.81757
Adjusted CNA Staffing Hours per Resident per Day
2.57954
Adjusted LPN Staffing Hours per Resident per Day
0.94623
Adjusted RN Staffing Hours per Resident per Day
0.77620
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28008
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
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
2013-09-26
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
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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
Nursiong Homes Nearby
Life Care Center Of Sullivan
875 Dunsford Drive |
SULLIVAN MO 63080 | 1 mile away
St Clair Nursing Center
1035 Plaza Court North |
SAINT CLAIR MO 63077 | 15.4 miles away
Gerald Nursing And Rehab
533 Canaan Road, Po Box 180 |
GERALD MO 63037 | 16.6 miles away
Sunset Health Care Center
400 West Park Avenue |
UNION MO 63084 | 19.7 miles away
Cedarcrest Manor
324 West 5th Street |
WASHINGTON MO 63090 | 26.4 miles away
Grandview Healthcare Center
201 Grand Ave |
WASHINGTON MO 63090 | 26.6 miles away
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