New Haven Care Center - New Haven Nursing Home

General Information

UPDATE
Federal Provider Number
265415
Provider Name
NEW HAVEN CARE CENTER
Provider Address
9503 HIGHWAY 100
NEW HAVEN, MO 63068
Provider Phone Number
5732372103
Provider SSA County
350
Provider County Name
Franklin
Ownership Type
Non profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEW HAVEN CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1990-02-21
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
3
Health Inspection Rating Footnote
QM Rating
4
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
2.51316
Reported LPN Staffing Hours per Resident per Day
0.85987
Reported RN Staffing Hours per Resident per Day
0.54342
Reported Licensed Staffing Hours per Resident per Day
1.40329
Reported Total Nurse Staffing Hours per Resident per Day
3.91645
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01974
Expected CNA Staffing Hours per Resident per Day
2.35220
Expected LPN Staffing Hours per Resident per Day
0.58927
Expected RN Staffing Hours per Resident per Day
0.85434
Expected Total Nurse Staffing Hours per Resident per Day
3.79581
Adjusted CNA Staffing Hours per Resident per Day
2.62160
Adjusted LPN Staffing Hours per Resident per Day
1.21115
Adjusted RN Staffing Hours per Resident per Day
0.47527
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15901
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
56
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-06
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
40.00000
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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