Presbyterian Manor Of Rolla - Rolla Nursing Home
General Information
UPDATEFederal Provider Number
265580
Provider Name
PRESBYTERIAN MANOR OF ROLLA
Provider Address
1200 HOMELIFE PLAZA
ROLLA, MO 65401
ROLLA, MO 65401
Provider Phone Number
(573) 364-7336
Provider SSA County
800
Provider County Name
Phelps
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN MANORS INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
Continuing Care Retirement Community
Y
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
5
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
2.85000
Reported LPN Staffing Hours per Resident per Day
1.99667
Reported RN Staffing Hours per Resident per Day
0.89000
Reported Licensed Staffing Hours per Resident per Day
2.88667
Reported Total Nurse Staffing Hours per Resident per Day
5.73667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02667
Expected CNA Staffing Hours per Resident per Day
2.41137
Expected LPN Staffing Hours per Resident per Day
0.61512
Expected RN Staffing Hours per Resident per Day
0.78426
Expected Total Nurse Staffing Hours per Resident per Day
3.81075
Adjusted CNA Staffing Hours per Resident per Day
2.90003
Adjusted LPN Staffing Hours per Resident per Day
2.69417
Adjusted RN Staffing Hours per Resident per Day
0.84794
Adjusted Total Nurse Staffing Hours per Resident per Day
6.06808
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
9.33300
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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