St Marys Manor - Blue Springs Nursing Home
General Information
UPDATEFederal Provider Number
265759
Provider Name
ST MARYS MANOR
Provider Address
111 MOCK AVENUE
BLUE SPRINGS, MO 64014
BLUE SPRINGS, MO 64014
Provider Phone Number
(816) 228-5655
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
132
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARONDELET LONG TERM CARE FACILITIES INC
Date First Approved to Provide Medicare and Medicaid services
2003-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.14938
Reported LPN Staffing Hours per Resident per Day
1.02188
Reported RN Staffing Hours per Resident per Day
1.01438
Reported Licensed Staffing Hours per Resident per Day
2.03625
Reported Total Nurse Staffing Hours per Resident per Day
5.18564
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23188
Expected CNA Staffing Hours per Resident per Day
2.53472
Expected LPN Staffing Hours per Resident per Day
0.63127
Expected RN Staffing Hours per Resident per Day
1.03770
Expected Total Nurse Staffing Hours per Resident per Day
4.20369
Adjusted CNA Staffing Hours per Resident per Day
3.04871
Adjusted LPN Staffing Hours per Resident per Day
1.34358
Adjusted RN Staffing Hours per Resident per Day
0.73041
Adjusted Total Nurse Staffing Hours per Resident per Day
4.97249
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-13
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-03-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-06-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
40.00000
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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