Sarcoxie Nursing Center - Sarcoxie Nursing Home
General Information
UPDATEFederal Provider Number
265649
Provider Name
SARCOXIE NURSING CENTER
Provider Address
1505 MINER, PO BOX 248
SARCOXIE, MO 64862
SARCOXIE, MO 64862
Provider Phone Number
(417) 548-3434
Provider SSA County
480
Provider County Name
Jasper
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SARCOXIE NURSING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.68857
Reported LPN Staffing Hours per Resident per Day
0.52286
Reported RN Staffing Hours per Resident per Day
0.81571
Reported Licensed Staffing Hours per Resident per Day
1.33857
Reported Total Nurse Staffing Hours per Resident per Day
3.02714
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06143
Expected CNA Staffing Hours per Resident per Day
2.35613
Expected LPN Staffing Hours per Resident per Day
0.52845
Expected RN Staffing Hours per Resident per Day
0.73045
Expected Total Nurse Staffing Hours per Resident per Day
3.61503
Adjusted CNA Staffing Hours per Resident per Day
1.75849
Adjusted LPN Staffing Hours per Resident per Day
0.82123
Adjusted RN Staffing Hours per Resident per Day
0.83441
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37538
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
36
Cycle 3 Standard Health Survey Date
2013-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
18.66700
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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