Seville Care Center - Salem Nursing Home
General Information
UPDATEFederal Provider Number
265521
Provider Name
SEVILLE CARE CENTER
Provider Address
35625 HIGHWAY 72, PO BOX 746
SALEM, MO 65560
SALEM, MO 65560
Provider Phone Number
(573) 729-6141
Provider SSA County
320
Provider County Name
Dent
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
90
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY CARE CENTER OF SALEM, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-01-04
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
3.16695
Reported LPN Staffing Hours per Resident per Day
1.25932
Reported RN Staffing Hours per Resident per Day
0.48390
Reported Licensed Staffing Hours per Resident per Day
1.74322
Reported Total Nurse Staffing Hours per Resident per Day
4.91017
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02458
Expected CNA Staffing Hours per Resident per Day
2.37656
Expected LPN Staffing Hours per Resident per Day
0.68649
Expected RN Staffing Hours per Resident per Day
1.05820
Expected Total Nurse Staffing Hours per Resident per Day
4.12125
Adjusted CNA Staffing Hours per Resident per Day
3.26975
Adjusted LPN Staffing Hours per Resident per Day
1.52259
Adjusted RN Staffing Hours per Resident per Day
0.34168
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80253
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
16
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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Nursiong Homes Nearby
Salem Memorial District Hospital
Po Box 774, 35629 Highway 72 |
SALEM MO 65560 | 0.1 mile away
Salem Care Center
1203 N Jackson, Po Box 29 |
SALEM MO 65560 | 1.8 miles away