Sells Rest Home - Matthews Nursing Home
General Information
UPDATEFederal Provider Number
265774
Provider Name
SELLS REST HOME
Provider Address
609 SOUTH RAILROAD STREET
MATTHEWS, MO 63867
MATTHEWS, MO 63867
Provider Phone Number
(573) 471-7861
Provider SSA County
710
Provider County Name
New Madrid
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLOSE TO HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
2003-11-10
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
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.65000
Reported LPN Staffing Hours per Resident per Day
0.83514
Reported RN Staffing Hours per Resident per Day
0.25473
Reported Licensed Staffing Hours per Resident per Day
1.08986
Reported Total Nurse Staffing Hours per Resident per Day
2.73987
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00608
Expected CNA Staffing Hours per Resident per Day
2.02245
Expected LPN Staffing Hours per Resident per Day
0.57506
Expected RN Staffing Hours per Resident per Day
0.81355
Expected Total Nurse Staffing Hours per Resident per Day
3.41106
Adjusted CNA Staffing Hours per Resident per Day
2.00183
Adjusted LPN Staffing Hours per Resident per Day
1.20539
Adjusted RN Staffing Hours per Resident per Day
0.23395
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23774
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
139
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
139
Total Weighted Health Survey Score
93.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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