Tiffany Heights - Mound City Nursing Home
General Information
UPDATEFederal Provider Number
265746
Provider Name
TIFFANY HEIGHTS
Provider Address
1531 NEBRASKA STREET, PO BOX 308
MOUND CITY, MO 64470
MOUND CITY, MO 64470
Provider Phone Number
6604423146
Provider SSA County
412
Provider County Name
Holt
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TIFFANY CARE CENTERS INC
Date First Approved to Provide Medicare and Medicaid services
2002-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.54878
Reported LPN Staffing Hours per Resident per Day
0.94634
Reported RN Staffing Hours per Resident per Day
0.64146
Reported Licensed Staffing Hours per Resident per Day
1.58780
Reported Total Nurse Staffing Hours per Resident per Day
4.13658
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05976
Expected CNA Staffing Hours per Resident per Day
2.25464
Expected LPN Staffing Hours per Resident per Day
0.54219
Expected RN Staffing Hours per Resident per Day
0.77841
Expected Total Nurse Staffing Hours per Resident per Day
3.57523
Adjusted CNA Staffing Hours per Resident per Day
2.77381
Adjusted LPN Staffing Hours per Resident per Day
1.44869
Adjusted RN Staffing Hours per Resident per Day
0.61574
Adjusted Total Nurse Staffing Hours per Resident per Day
4.66379
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
28
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
44
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
22.66700
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
Nursiong Homes Nearby
Oregon Care Center
501 Monroe, Po Box 19 |
OREGON MO 64473 | 12 miles away
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