St Luke's Nursing Center Inc - Carthage Nursing Home
General Information
UPDATEFederal Provider Number
265661
Provider Name
ST LUKE'S NURSING CENTER INC
Provider Address
1220 EAST FAIRVIEW
CARTHAGE, MO 64836
CARTHAGE, MO 64836
Provider Phone Number
(417) 358-9084
Provider SSA County
480
Provider County Name
Jasper
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST.LUKE'S MANAGEMENT CO.,INC.
Date First Approved to Provide Medicare and Medicaid services
1997-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.17891
Reported LPN Staffing Hours per Resident per Day
0.76719
Reported RN Staffing Hours per Resident per Day
0.45078
Reported Licensed Staffing Hours per Resident per Day
1.21797
Reported Total Nurse Staffing Hours per Resident per Day
3.39688
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01641
Expected CNA Staffing Hours per Resident per Day
2.11602
Expected LPN Staffing Hours per Resident per Day
0.52312
Expected RN Staffing Hours per Resident per Day
0.73696
Expected Total Nurse Staffing Hours per Resident per Day
3.37611
Adjusted CNA Staffing Hours per Resident per Day
2.52662
Adjusted LPN Staffing Hours per Resident per Day
1.21724
Adjusted RN Staffing Hours per Resident per Day
0.45704
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05570
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
18
Cycle 1 Total Health Score
54
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
33.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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