South County Nursing Home Inc - Arnold Nursing Home
General Information
UPDATEFederal Provider Number
265509
Provider Name
SOUTH COUNTY NURSING HOME INC
Provider Address
1101 WEST OUTER 21 ROAD
ARNOLD, MO 63010
ARNOLD, MO 63010
Provider Phone Number
(636) 296-5455
Provider SSA County
490
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
153
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH COUNTY NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-10-12
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
5
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
1.55876
Reported LPN Staffing Hours per Resident per Day
0.37113
Reported RN Staffing Hours per Resident per Day
0.25000
Reported Licensed Staffing Hours per Resident per Day
0.62113
Reported Total Nurse Staffing Hours per Resident per Day
2.17989
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08196
Expected CNA Staffing Hours per Resident per Day
1.80661
Expected LPN Staffing Hours per Resident per Day
0.52027
Expected RN Staffing Hours per Resident per Day
0.80720
Expected Total Nurse Staffing Hours per Resident per Day
3.13407
Adjusted CNA Staffing Hours per Resident per Day
2.11708
Adjusted LPN Staffing Hours per Resident per Day
0.59207
Adjusted RN Staffing Hours per Resident per Day
0.23142
Adjusted Total Nurse Staffing Hours per Resident per Day
2.80368
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-19
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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