Troy Manor - Troy Nursing Home
General Information
UPDATEFederal Provider Number
265702
Provider Name
TROY MANOR
Provider Address
200 THOMPSON DRIVE
TROY, MO 63379
TROY, MO 63379
Provider Phone Number
(636) 528-8446
Provider SSA County
560
Provider County Name
Lincoln
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF TROY LLC
Date First Approved to Provide Medicare and Medicaid services
2000-02-22
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.55924
Reported LPN Staffing Hours per Resident per Day
0.62437
Reported RN Staffing Hours per Resident per Day
0.34748
Reported Licensed Staffing Hours per Resident per Day
0.97185
Reported Total Nurse Staffing Hours per Resident per Day
3.53109
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04328
Expected CNA Staffing Hours per Resident per Day
2.12022
Expected LPN Staffing Hours per Resident per Day
0.59841
Expected RN Staffing Hours per Resident per Day
0.88652
Expected Total Nurse Staffing Hours per Resident per Day
3.60515
Adjusted CNA Staffing Hours per Resident per Day
2.96177
Adjusted LPN Staffing Hours per Resident per Day
0.86601
Adjusted RN Staffing Hours per Resident per Day
0.29287
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94809
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
24
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
260
Cycle 1 Standard Survey Health Date
2015-02-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
260
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
153.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
9
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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