Parkview Health Care Facility - Bolivar Nursing Home

General Information

UPDATE
Federal Provider Number
265519
Provider Name
PARKVIEW HEALTH CARE FACILITY
Provider Address
119 WEST FOREST
BOLIVAR, MO 65613
Provider Phone Number
(417) 326-3000
Provider SSA County
821
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Date First Approved to Provide Medicare and Medicaid services
1992-12-03
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
2.22365
Reported LPN Staffing Hours per Resident per Day
0.38514
Reported RN Staffing Hours per Resident per Day
0.51216
Reported Licensed Staffing Hours per Resident per Day
0.89730
Reported Total Nurse Staffing Hours per Resident per Day
3.12095
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16149
Expected CNA Staffing Hours per Resident per Day
2.19992
Expected LPN Staffing Hours per Resident per Day
0.58768
Expected RN Staffing Hours per Resident per Day
0.92591
Expected Total Nurse Staffing Hours per Resident per Day
3.71350
Adjusted CNA Staffing Hours per Resident per Day
2.48017
Adjusted LPN Staffing Hours per Resident per Day
0.54395
Adjusted RN Staffing Hours per Resident per Day
0.41331
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38771
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
12
Cycle 1 Standard Survey Health Date
2014-09-26
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
8.00000
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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