Pine View Manor Inc - Stanberry Nursing Home
General Information
UPDATEFederal Provider Number
265506
Provider Name
PINE VIEW MANOR INC
Provider Address
307 N PINEVIEW STREET
STANBERRY, MO 64489
STANBERRY, MO 64489
Provider Phone Number
(660) 783-2118
Provider SSA County
370
Provider County Name
Gentry
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINE VIEW MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-10-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.09615
Reported LPN Staffing Hours per Resident per Day
0.41346
Reported RN Staffing Hours per Resident per Day
0.37019
Reported Licensed Staffing Hours per Resident per Day
0.78365
Reported Total Nurse Staffing Hours per Resident per Day
2.87980
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04904
Expected CNA Staffing Hours per Resident per Day
2.11947
Expected LPN Staffing Hours per Resident per Day
0.57491
Expected RN Staffing Hours per Resident per Day
0.85239
Expected Total Nurse Staffing Hours per Resident per Day
3.54677
Adjusted CNA Staffing Hours per Resident per Day
2.42670
Adjusted LPN Staffing Hours per Resident per Day
0.59691
Adjusted RN Staffing Hours per Resident per Day
0.32451
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27289
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
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
36
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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