Oak Knoll Nursing Home - Ferguson Nursing Home
General Information
UPDATEFederal Provider Number
265680
Provider Name
OAK KNOLL NURSING HOME
Provider Address
37 NORTH CLARK AVENUE
FERGUSON, MO 63135
FERGUSON, MO 63135
Provider Phone Number
3145217419
Provider SSA County
940
Provider County Name
St. Louis
Ownership Type
For profit - Corporation
Number of Certified Beds
43
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MILLENNIUM MANAGEMENT & CONSULTING, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-08-08
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
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
2.60500
Reported LPN Staffing Hours per Resident per Day
0.41625
Reported RN Staffing Hours per Resident per Day
0.43625
Reported Licensed Staffing Hours per Resident per Day
0.85250
Reported Total Nurse Staffing Hours per Resident per Day
3.45750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00500
Expected CNA Staffing Hours per Resident per Day
1.57940
Expected LPN Staffing Hours per Resident per Day
0.52911
Expected RN Staffing Hours per Resident per Day
0.67713
Expected Total Nurse Staffing Hours per Resident per Day
2.78564
Adjusted CNA Staffing Hours per Resident per Day
4.04705
Adjusted LPN Staffing Hours per Resident per Day
0.65296
Adjusted RN Staffing Hours per Resident per Day
0.48139
Adjusted Total Nurse Staffing Hours per Resident per Day
5.00310
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-22
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-09
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.00000
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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