Northwood Hills Care Center - Humansville Nursing Home
General Information
UPDATEFederal Provider Number
265381
Provider Name
NORTHWOOD HILLS CARE CENTER
Provider Address
800 N ARTHUR ST, PO BOX 187
HUMANSVILLE, MO 65674
HUMANSVILLE, MO 65674
Provider Phone Number
(417) 754-2208
Provider SSA County
821
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHWOOD HILLS CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-01
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
3
Health Inspection Rating Footnote
QM Rating
1
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
2.40422
Reported LPN Staffing Hours per Resident per Day
0.81506
Reported RN Staffing Hours per Resident per Day
0.49096
Reported Licensed Staffing Hours per Resident per Day
1.30602
Reported Total Nurse Staffing Hours per Resident per Day
3.71024
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11506
Expected CNA Staffing Hours per Resident per Day
2.36972
Expected LPN Staffing Hours per Resident per Day
0.61944
Expected RN Staffing Hours per Resident per Day
0.90040
Expected Total Nurse Staffing Hours per Resident per Day
3.88956
Adjusted CNA Staffing Hours per Resident per Day
2.48943
Adjusted LPN Staffing Hours per Resident per Day
1.09212
Adjusted RN Staffing Hours per Resident per Day
0.40742
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84506
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-16
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
18
Cycle 2 Total Health Score
54
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
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
1
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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