Moore-pike Nursing Home - Bowling Green Nursing Home
General Information
UPDATEFederal Provider Number
265781
Provider Name
MOORE-PIKE NURSING HOME
Provider Address
300 SOUTH ST CHARLES STREET
BOWLING GREEN, MO 63334
BOWLING GREEN, MO 63334
Provider Phone Number
(573) 324-5281
Provider SSA County
810
Provider County Name
Pike
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOORE-PIKE NURSING HOME INC.
Date First Approved to Provide Medicare and Medicaid services
2004-05-01
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
3
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
3.19896
Reported LPN Staffing Hours per Resident per Day
1.19375
Reported RN Staffing Hours per Resident per Day
0.80938
Reported Licensed Staffing Hours per Resident per Day
2.00313
Reported Total Nurse Staffing Hours per Resident per Day
5.20209
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03542
Expected CNA Staffing Hours per Resident per Day
2.35180
Expected LPN Staffing Hours per Resident per Day
0.60882
Expected RN Staffing Hours per Resident per Day
0.85079
Expected Total Nurse Staffing Hours per Resident per Day
3.81141
Adjusted CNA Staffing Hours per Resident per Day
3.33757
Adjusted LPN Staffing Hours per Resident per Day
1.62743
Adjusted RN Staffing Hours per Resident per Day
0.71083
Adjusted Total Nurse Staffing Hours per Resident per Day
5.50167
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-02-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
32.66700
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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