Parkside Manor - Columbia Nursing Home
General Information
UPDATEFederal Provider Number
265302
Provider Name
PARKSIDE MANOR
Provider Address
1201 HUNT AVENUE
COLUMBIA, MO 65202
COLUMBIA, MO 65202
Provider Phone Number
(573) 449-1448
Provider SSA County
90
Provider County Name
Boone
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
120
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF COLUMBIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-03-17
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.65379
Reported LPN Staffing Hours per Resident per Day
0.95303
Reported RN Staffing Hours per Resident per Day
0.52727
Reported Licensed Staffing Hours per Resident per Day
1.48030
Reported Total Nurse Staffing Hours per Resident per Day
4.13409
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00985
Expected CNA Staffing Hours per Resident per Day
2.15282
Expected LPN Staffing Hours per Resident per Day
0.55261
Expected RN Staffing Hours per Resident per Day
0.76394
Expected Total Nurse Staffing Hours per Resident per Day
3.46938
Adjusted CNA Staffing Hours per Resident per Day
3.02469
Adjusted LPN Staffing Hours per Resident per Day
1.43140
Adjusted RN Staffing Hours per Resident per Day
0.51572
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80320
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-07-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2014-03-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
21515
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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