Kansas Nursing Homes >> Saint Paul Nursing Homes >> Prairie Mission Retirement Village

Prairie Mission Retirement Village - Saint Paul Nursing Home

General Information

UPDATE
Federal Provider Number
175468
Provider Name
PRAIRIE MISSION RETIREMENT VILLAGE
Provider Address
242 CARROLL ST
SAINT PAUL, KS 66771
Provider Phone Number
6204492400
Provider SSA County
660
Provider County Name
Neosho
Ownership Type
Non profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRAIRIE MISSION RETIREMENT VILLAGE
Date First Approved to Provide Medicare and Medicaid services
2003-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.77436
Reported LPN Staffing Hours per Resident per Day
0.28974
Reported RN Staffing Hours per Resident per Day
1.16282
Reported Licensed Staffing Hours per Resident per Day
1.45256
Reported Total Nurse Staffing Hours per Resident per Day
5.22692
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01154
Expected CNA Staffing Hours per Resident per Day
2.44690
Expected LPN Staffing Hours per Resident per Day
0.57206
Expected RN Staffing Hours per Resident per Day
0.84591
Expected Total Nurse Staffing Hours per Resident per Day
3.86487
Adjusted CNA Staffing Hours per Resident per Day
3.78485
Adjusted LPN Staffing Hours per Resident per Day
0.42038
Adjusted RN Staffing Hours per Resident per Day
1.02713
Adjusted Total Nurse Staffing Hours per Resident per Day
5.45146
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
35.33300
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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