Rolla Health & Rehabilitation Suites - Rolla Nursing Home
General Information
UPDATEFederal Provider Number
265844
Provider Name
ROLLA HEALTH & REHABILITATION SUITES
Provider Address
1200 MCCUTCHEN ROAD
ROLLA, MO 65401
ROLLA, MO 65401
Provider Phone Number
(573) 364-2311
Provider SSA County
800
Provider County Name
Phelps
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
120
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROLLA HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2013-04-05
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.88452
Reported LPN Staffing Hours per Resident per Day
1.10595
Reported RN Staffing Hours per Resident per Day
0.45476
Reported Licensed Staffing Hours per Resident per Day
1.56071
Reported Total Nurse Staffing Hours per Resident per Day
3.44523
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06429
Expected CNA Staffing Hours per Resident per Day
2.02795
Expected LPN Staffing Hours per Resident per Day
0.62763
Expected RN Staffing Hours per Resident per Day
1.05960
Expected Total Nurse Staffing Hours per Resident per Day
3.71518
Adjusted CNA Staffing Hours per Resident per Day
2.28016
Adjusted LPN Staffing Hours per Resident per Day
1.46255
Adjusted RN Staffing Hours per Resident per Day
0.32068
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73801
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-03-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
183
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
3
Cycle 2 Health Revisit Score
128
Cycle 2 Total Health Score
311
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
8
Cycle 3 Standard Health Survey Date
2013-03-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
127.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
22
Number of Fines
2
Total Amount of Fines in Dollars
11663
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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