Spring River Christian Village Inc - Joplin Nursing Home
General Information
UPDATEFederal Provider Number
265617
Provider Name
SPRING RIVER CHRISTIAN VILLAGE INC
Provider Address
201 SOUTH NORTHPARK LANE
JOPLIN, MO 64801
JOPLIN, MO 64801
Provider Phone Number
(417) 623-4313
Provider SSA County
480
Provider County Name
Jasper
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRING RIVER CHRISTIAN VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
Continuing Care Retirement Community
Y
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.65515
Reported LPN Staffing Hours per Resident per Day
1.15928
Reported RN Staffing Hours per Resident per Day
0.73557
Reported Licensed Staffing Hours per Resident per Day
1.89485
Reported Total Nurse Staffing Hours per Resident per Day
4.55000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14948
Expected CNA Staffing Hours per Resident per Day
2.49228
Expected LPN Staffing Hours per Resident per Day
0.64836
Expected RN Staffing Hours per Resident per Day
1.13782
Expected Total Nurse Staffing Hours per Resident per Day
4.27845
Adjusted CNA Staffing Hours per Resident per Day
2.61405
Adjusted LPN Staffing Hours per Resident per Day
1.48405
Adjusted RN Staffing Hours per Resident per Day
0.48305
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28673
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
155
Cycle 2 Standard Health Survey Date
2014-02-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
155
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2013-01-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
81.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
43225
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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