Pleasant Valley Manor Care Center - Liberty Nursing Home

General Information

UPDATE
Federal Provider Number
265679
Provider Name
PLEASANT VALLEY MANOR CARE CENTER
Provider Address
6814 SOBBIE ROAD
LIBERTY, MO 64068
Provider Phone Number
(816) 781-5277
Provider SSA County
230
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLEASANT VALLEY MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1997-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
3.02958
Reported LPN Staffing Hours per Resident per Day
0.59859
Reported RN Staffing Hours per Resident per Day
0.45070
Reported Licensed Staffing Hours per Resident per Day
1.04930
Reported Total Nurse Staffing Hours per Resident per Day
4.07887
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04225
Expected CNA Staffing Hours per Resident per Day
2.23360
Expected LPN Staffing Hours per Resident per Day
0.57495
Expected RN Staffing Hours per Resident per Day
0.87005
Expected Total Nurse Staffing Hours per Resident per Day
3.67861
Adjusted CNA Staffing Hours per Resident per Day
3.32811
Adjusted LPN Staffing Hours per Resident per Day
0.86412
Adjusted RN Staffing Hours per Resident per Day
0.38706
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46949
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
72.00000
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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