Pacific Care Center Llc - Pacific Nursing Home
General Information
UPDATEFederal Provider Number
265337
Provider Name
PACIFIC CARE CENTER LLC
Provider Address
105 SOUTH SIXTH STREET
PACIFIC, MO 63069
PACIFIC, MO 63069
Provider Phone Number
(636) 271-4222
Provider SSA County
350
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PACIFIC CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1988-12-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.55895
Reported LPN Staffing Hours per Resident per Day
0.74947
Reported RN Staffing Hours per Resident per Day
0.38526
Reported Licensed Staffing Hours per Resident per Day
1.13474
Reported Total Nurse Staffing Hours per Resident per Day
3.69368
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02421
Expected CNA Staffing Hours per Resident per Day
2.32854
Expected LPN Staffing Hours per Resident per Day
0.62051
Expected RN Staffing Hours per Resident per Day
0.88196
Expected Total Nurse Staffing Hours per Resident per Day
3.83100
Adjusted CNA Staffing Hours per Resident per Day
2.69650
Adjusted LPN Staffing Hours per Resident per Day
1.00250
Adjusted RN Staffing Hours per Resident per Day
0.32639
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88641
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
28
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
40
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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