Southbrook-skilled Nursing By Americare - Farmington Nursing Home
General Information
UPDATEFederal Provider Number
265389
Provider Name
SOUTHBROOK-SKILLED NURSING BY AMERICARE
Provider Address
1108 WEST LIBERTY
FARMINGTON, MO 63640
FARMINGTON, MO 63640
Provider Phone Number
(573) 756-6658
Provider SSA County
930
Provider County Name
St. Francois
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICARE AT SOUTHBROOK NURSING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-06
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.75703
Reported LPN Staffing Hours per Resident per Day
0.57109
Reported RN Staffing Hours per Resident per Day
0.69063
Reported Licensed Staffing Hours per Resident per Day
1.26172
Reported Total Nurse Staffing Hours per Resident per Day
4.01875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03594
Expected CNA Staffing Hours per Resident per Day
2.39556
Expected LPN Staffing Hours per Resident per Day
0.63858
Expected RN Staffing Hours per Resident per Day
1.01015
Expected Total Nurse Staffing Hours per Resident per Day
4.04429
Adjusted CNA Staffing Hours per Resident per Day
2.82394
Adjusted LPN Staffing Hours per Resident per Day
0.74228
Adjusted RN Staffing Hours per Resident per Day
0.51085
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00544
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
2013-07-11
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
25.33300
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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