Springfield Skilled Care Center - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
265477
Provider Name
SPRINGFIELD SKILLED CARE CENTER
Provider Address
2401 WEST GRAND
SPRINGFIELD, MO 65802
SPRINGFIELD, MO 65802
Provider Phone Number
(417) 864-4545
Provider SSA County
380
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRINGFIELD HEALTHCARE MANAGEMENT LLC
Date First Approved to Provide Medicare and Medicaid services
1991-11-15
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
1
Health Inspection Rating Footnote
QM Rating
5
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
2.05905
Reported LPN Staffing Hours per Resident per Day
0.45431
Reported RN Staffing Hours per Resident per Day
0.26983
Reported Licensed Staffing Hours per Resident per Day
0.72414
Reported Total Nurse Staffing Hours per Resident per Day
2.78319
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00733
Expected CNA Staffing Hours per Resident per Day
1.58174
Expected LPN Staffing Hours per Resident per Day
0.50680
Expected RN Staffing Hours per Resident per Day
0.65747
Expected Total Nurse Staffing Hours per Resident per Day
2.74602
Adjusted CNA Staffing Hours per Resident per Day
3.19413
Adjusted LPN Staffing Hours per Resident per Day
0.74403
Adjusted RN Staffing Hours per Resident per Day
0.30665
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08547
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
191
Cycle 1 Standard Survey Health Date
2014-12-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
191
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
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
44
Cycle 3 Standard Health Survey Date
2013-01-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
132.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
4713
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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