Mt Vernon Place Care Center, Inc - Mount Vernon Nursing Home
General Information
UPDATEFederal Provider Number
265452
Provider Name
MT VERNON PLACE CARE CENTER, INC
Provider Address
1425 SOUTH LANDRUM
MOUNT VERNON, MO 65712
MOUNT VERNON, MO 65712
Provider Phone Number
(417) 466-2260
Provider SSA County
540
Provider County Name
Lawrence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MT VERNON PLACE CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-05-03
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.91569
Reported LPN Staffing Hours per Resident per Day
0.86471
Reported RN Staffing Hours per Resident per Day
0.59216
Reported Licensed Staffing Hours per Resident per Day
1.45686
Reported Total Nurse Staffing Hours per Resident per Day
4.37256
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00882
Expected CNA Staffing Hours per Resident per Day
1.89472
Expected LPN Staffing Hours per Resident per Day
0.55028
Expected RN Staffing Hours per Resident per Day
0.82044
Expected Total Nurse Staffing Hours per Resident per Day
3.26543
Adjusted CNA Staffing Hours per Resident per Day
3.77588
Adjusted LPN Staffing Hours per Resident per Day
1.30427
Adjusted RN Staffing Hours per Resident per Day
0.53930
Adjusted Total Nurse Staffing Hours per Resident per Day
5.39756
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-09
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
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
99
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
99
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
54.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
7250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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