Rolla Manor Care Center - Rolla Nursing Home
General Information
UPDATEFederal Provider Number
265279
Provider Name
ROLLA MANOR CARE CENTER
Provider Address
1800 WHITE COLUMNS DRIVE
ROLLA, MO 65401
ROLLA, MO 65401
Provider Phone Number
(573) 364-7766
Provider SSA County
800
Provider County Name
Phelps
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROLLA MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1985-07-03
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
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
3.46688
Reported LPN Staffing Hours per Resident per Day
0.75909
Reported RN Staffing Hours per Resident per Day
0.57013
Reported Licensed Staffing Hours per Resident per Day
1.32922
Reported Total Nurse Staffing Hours per Resident per Day
4.79610
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07403
Expected CNA Staffing Hours per Resident per Day
2.28832
Expected LPN Staffing Hours per Resident per Day
0.64089
Expected RN Staffing Hours per Resident per Day
0.93977
Expected Total Nurse Staffing Hours per Resident per Day
3.86898
Adjusted CNA Staffing Hours per Resident per Day
3.71744
Adjusted LPN Staffing Hours per Resident per Day
0.98307
Adjusted RN Staffing Hours per Resident per Day
0.45330
Adjusted Total Nurse Staffing Hours per Resident per Day
4.99682
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-12
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
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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