Mercy Villa - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
265814
Provider Name
MERCY VILLA
Provider Address
1100 EAST MONTCLAIR
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
Provider Phone Number
(417) 820-8500
Provider SSA County
380
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
146
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERCY HOSPITAL SPRINGFIELD
Date First Approved to Provide Medicare and Medicaid services
2007-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
2.51150
Reported LPN Staffing Hours per Resident per Day
0.62750
Reported RN Staffing Hours per Resident per Day
1.09200
Reported Licensed Staffing Hours per Resident per Day
1.71950
Reported Total Nurse Staffing Hours per Resident per Day
4.23100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11450
Expected CNA Staffing Hours per Resident per Day
2.30850
Expected LPN Staffing Hours per Resident per Day
0.59840
Expected RN Staffing Hours per Resident per Day
0.89225
Expected Total Nurse Staffing Hours per Resident per Day
3.79915
Adjusted CNA Staffing Hours per Resident per Day
2.66946
Adjusted LPN Staffing Hours per Resident per Day
0.87037
Adjusted RN Staffing Hours per Resident per Day
0.91448
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48909
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
8
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-05-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
20.00000
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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