South Hampton Place - Columbia Nursing Home
General Information
UPDATEFederal Provider Number
265618
Provider Name
SOUTH HAMPTON PLACE
Provider Address
4700 BRANDON WOODS
COLUMBIA, MO 65203
COLUMBIA, MO 65203
Provider Phone Number
(573) 874-3674
Provider SSA County
90
Provider County Name
Boone
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
100
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF SOUTH HAMPTON, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-07-14
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22803
Reported LPN Staffing Hours per Resident per Day
1.08409
Reported RN Staffing Hours per Resident per Day
0.56439
Reported Licensed Staffing Hours per Resident per Day
1.64848
Reported Total Nurse Staffing Hours per Resident per Day
3.87651
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02273
Expected CNA Staffing Hours per Resident per Day
2.41854
Expected LPN Staffing Hours per Resident per Day
0.67344
Expected RN Staffing Hours per Resident per Day
0.97979
Expected Total Nurse Staffing Hours per Resident per Day
4.07177
Adjusted CNA Staffing Hours per Resident per Day
2.26042
Adjusted LPN Staffing Hours per Resident per Day
1.33612
Adjusted RN Staffing Hours per Resident per Day
0.43041
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83760
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-12-12
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
9
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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