Nixa Nursing & Rehab - Nixa Nursing Home
General Information
UPDATEFederal Provider Number
265322
Provider Name
NIXA NURSING & REHAB
Provider Address
1104 NORTH MAIN STREET
NIXA, MO 65714
NIXA, MO 65714
Provider Phone Number
(417) 725-1777
Provider SSA County
210
Provider County Name
Christian
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF NIXA LLC
Date First Approved to Provide Medicare and Medicaid services
1988-04-08
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
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
5
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
2.19133
Reported LPN Staffing Hours per Resident per Day
0.59333
Reported RN Staffing Hours per Resident per Day
0.59667
Reported Licensed Staffing Hours per Resident per Day
1.19000
Reported Total Nurse Staffing Hours per Resident per Day
3.38133
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05267
Expected CNA Staffing Hours per Resident per Day
2.55666
Expected LPN Staffing Hours per Resident per Day
0.63226
Expected RN Staffing Hours per Resident per Day
0.90550
Expected Total Nurse Staffing Hours per Resident per Day
4.09442
Adjusted CNA Staffing Hours per Resident per Day
2.10308
Adjusted LPN Staffing Hours per Resident per Day
0.77890
Adjusted RN Staffing Hours per Resident per Day
0.49236
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32887
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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