Nodaway Nursing Home - Maryville Nursing Home
General Information
UPDATEFederal Provider Number
265836
Provider Name
NODAWAY NURSING HOME
Provider Address
22371 STATE HIGHWAY 46, PO BOX 307
MARYVILLE, MO 64468
MARYVILLE, MO 64468
Provider Phone Number
6605622876
Provider SSA County
730
Provider County Name
Nodaway
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TIFFANY CARE CENTERS INC
Date First Approved to Provide Medicare and Medicaid services
2010-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
1.79896
Reported LPN Staffing Hours per Resident per Day
0.61458
Reported RN Staffing Hours per Resident per Day
0.66250
Reported Licensed Staffing Hours per Resident per Day
1.27708
Reported Total Nurse Staffing Hours per Resident per Day
3.07604
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01979
Expected CNA Staffing Hours per Resident per Day
2.14907
Expected LPN Staffing Hours per Resident per Day
0.54323
Expected RN Staffing Hours per Resident per Day
0.77342
Expected Total Nurse Staffing Hours per Resident per Day
3.46573
Adjusted CNA Staffing Hours per Resident per Day
2.05396
Adjusted LPN Staffing Hours per Resident per Day
0.93902
Adjusted RN Staffing Hours per Resident per Day
0.64004
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57767
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
163
Cycle 2 Standard Health Survey Date
2014-01-13
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-01-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
65.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
4778
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Golden Livingcenter-maryville
524 North Laura |
MARYVILLE MO 64468 | 1 mile away
Village Care Center Inc
810 East Edwards Street |
MARYVILLE MO 64468 | 1.2 miles away
Parkdale Manor Care Center
814 West South Avenue |
MARYVILLE MO 64468 | 2.2 miles away
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