Shady Oaks Healthcare Center - Thayer Nursing Home
General Information
UPDATEFederal Provider Number
265246
Provider Name
SHADY OAKS HEALTHCARE CENTER
Provider Address
715 S STATE ROUTE 19
THAYER, MO 65791
THAYER, MO 65791
Provider Phone Number
4172647256
Provider SSA County
740
Provider County Name
Oregon
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THAYER NO 1 INC
Date First Approved to Provide Medicare and Medicaid services
1984-05-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84127
Reported LPN Staffing Hours per Resident per Day
0.93492
Reported RN Staffing Hours per Resident per Day
0.40556
Reported Licensed Staffing Hours per Resident per Day
1.34048
Reported Total Nurse Staffing Hours per Resident per Day
4.18175
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06111
Expected CNA Staffing Hours per Resident per Day
2.21808
Expected LPN Staffing Hours per Resident per Day
0.55345
Expected RN Staffing Hours per Resident per Day
0.82037
Expected Total Nurse Staffing Hours per Resident per Day
3.59189
Adjusted CNA Staffing Hours per Resident per Day
3.14309
Adjusted LPN Staffing Hours per Resident per Day
1.40209
Adjusted RN Staffing Hours per Resident per Day
0.36939
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69285
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
2015-02-27
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
24.00000
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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