Rocky Ridge Manor - Mansfield Nursing Home
General Information
UPDATEFederal Provider Number
265494
Provider Name
ROCKY RIDGE MANOR
Provider Address
3111 HIGHWAY A
MANSFIELD, MO 65704
MANSFIELD, MO 65704
Provider Phone Number
(417) 924-8116
Provider SSA County
996
Provider County Name
Wright
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF MANSFIELD, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-05-01
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
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.53191
Reported LPN Staffing Hours per Resident per Day
0.16702
Reported RN Staffing Hours per Resident per Day
0.76915
Reported Licensed Staffing Hours per Resident per Day
0.93617
Reported Total Nurse Staffing Hours per Resident per Day
3.46808
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00638
Expected CNA Staffing Hours per Resident per Day
2.08479
Expected LPN Staffing Hours per Resident per Day
0.59404
Expected RN Staffing Hours per Resident per Day
0.85209
Expected Total Nurse Staffing Hours per Resident per Day
3.53092
Adjusted CNA Staffing Hours per Resident per Day
2.97994
Adjusted LPN Staffing Hours per Resident per Day
0.23336
Adjusted RN Staffing Hours per Resident per Day
0.67447
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95916
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
16
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
7.33300
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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