Tipton Oak Manor - Tipton Nursing Home
General Information
UPDATEFederal Provider Number
265748
Provider Name
TIPTON OAK MANOR
Provider Address
601 WEST MORGAN STREET
TIPTON, MO 65081
TIPTON, MO 65081
Provider Phone Number
(660) 433-5574
Provider SSA County
670
Provider County Name
Moniteau
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF TIPTON, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-10-22
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
4
Health Inspection Rating Footnote
QM Rating
3
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
2.48981
Reported LPN Staffing Hours per Resident per Day
0.45370
Reported RN Staffing Hours per Resident per Day
0.59722
Reported Licensed Staffing Hours per Resident per Day
1.05093
Reported Total Nurse Staffing Hours per Resident per Day
3.54073
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02130
Expected CNA Staffing Hours per Resident per Day
2.35019
Expected LPN Staffing Hours per Resident per Day
0.53469
Expected RN Staffing Hours per Resident per Day
0.79133
Expected Total Nurse Staffing Hours per Resident per Day
3.67620
Adjusted CNA Staffing Hours per Resident per Day
2.59947
Adjusted LPN Staffing Hours per Resident per Day
0.70428
Adjusted RN Staffing Hours per Resident per Day
0.56392
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88236
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
36
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
18.66700
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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