Shady Lawn Living Center - Savannah Nursing Home

General Information

UPDATE
Federal Provider Number
265846
Provider Name
SHADY LAWN LIVING CENTER
Provider Address
13277 STATE ROUTE D
SAVANNAH, MO 64485
Provider Phone Number
(816) 324-5991
Provider SSA County
10
Provider County Name
Andrew
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
88
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHADY LAWN LIVING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2013-06-18
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.58404
Reported LPN Staffing Hours per Resident per Day
0.26702
Reported RN Staffing Hours per Resident per Day
0.58298
Reported Licensed Staffing Hours per Resident per Day
0.85000
Reported Total Nurse Staffing Hours per Resident per Day
3.43404
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10745
Expected CNA Staffing Hours per Resident per Day
1.68807
Expected LPN Staffing Hours per Resident per Day
0.51174
Expected RN Staffing Hours per Resident per Day
0.68333
Expected Total Nurse Staffing Hours per Resident per Day
2.88314
Adjusted CNA Staffing Hours per Resident per Day
3.75604
Adjusted LPN Staffing Hours per Resident per Day
0.43308
Adjusted RN Staffing Hours per Resident per Day
0.63748
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80112
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-06-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
86.00000
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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