St Joe Manor - Bonne Terre Nursing Home
General Information
UPDATEFederal Provider Number
265701
Provider Name
ST JOE MANOR
Provider Address
10 LAKE DRIVE
BONNE TERRE, MO 63628
BONNE TERRE, MO 63628
Provider Phone Number
(573) 358-2800
Provider SSA County
930
Provider County Name
St. Francois
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
136
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST JOE MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1999-11-12
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.44276
Reported LPN Staffing Hours per Resident per Day
0.53355
Reported RN Staffing Hours per Resident per Day
0.41842
Reported Licensed Staffing Hours per Resident per Day
0.95197
Reported Total Nurse Staffing Hours per Resident per Day
3.39473
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01053
Expected CNA Staffing Hours per Resident per Day
2.02297
Expected LPN Staffing Hours per Resident per Day
0.54407
Expected RN Staffing Hours per Resident per Day
0.77189
Expected Total Nurse Staffing Hours per Resident per Day
3.33894
Adjusted CNA Staffing Hours per Resident per Day
2.96287
Adjusted LPN Staffing Hours per Resident per Day
0.81395
Adjusted RN Staffing Hours per Resident per Day
0.40504
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09826
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-10-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
72.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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