Tri-county Care Center - Vandalia Nursing Home
General Information
UPDATEFederal Provider Number
265638
Provider Name
TRI-COUNTY CARE CENTER
Provider Address
601 NORTH GALLOWAY ROAD
VANDALIA, MO 63382
VANDALIA, MO 63382
Provider Phone Number
(573) 594-6467
Provider SSA County
30
Provider County Name
Audrain
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
90
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRI COUNTY NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1996-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.82326
Reported LPN Staffing Hours per Resident per Day
0.94012
Reported RN Staffing Hours per Resident per Day
0.41395
Reported Licensed Staffing Hours per Resident per Day
1.35407
Reported Total Nurse Staffing Hours per Resident per Day
5.17733
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06628
Expected CNA Staffing Hours per Resident per Day
2.32299
Expected LPN Staffing Hours per Resident per Day
0.60586
Expected RN Staffing Hours per Resident per Day
0.82951
Expected Total Nurse Staffing Hours per Resident per Day
3.75836
Adjusted CNA Staffing Hours per Resident per Day
4.03838
Adjusted LPN Staffing Hours per Resident per Day
1.28792
Adjusted RN Staffing Hours per Resident per Day
0.37288
Adjusted Total Nurse Staffing Hours per Resident per Day
5.55277
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
36.66700
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
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