Villa Marie-a Stonebridge Community - Jefferson City Nursing Home
General Information
UPDATEFederal Provider Number
265208
Provider Name
VILLA MARIE-A STONEBRIDGE COMMUNITY
Provider Address
1030 EDMONDS STREET
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
Provider Phone Number
(573) 635-3381
Provider SSA County
250
Provider County Name
Cole
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELDERCARE OF MID-MISSOURI VII, INC.
Date First Approved to Provide Medicare and Medicaid services
1983-10-03
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22462
Reported LPN Staffing Hours per Resident per Day
1.01077
Reported RN Staffing Hours per Resident per Day
0.54462
Reported Licensed Staffing Hours per Resident per Day
1.55538
Reported Total Nurse Staffing Hours per Resident per Day
3.78001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08923
Expected CNA Staffing Hours per Resident per Day
2.13531
Expected LPN Staffing Hours per Resident per Day
0.63909
Expected RN Staffing Hours per Resident per Day
0.91688
Expected Total Nurse Staffing Hours per Resident per Day
3.69127
Adjusted CNA Staffing Hours per Resident per Day
2.55633
Adjusted LPN Staffing Hours per Resident per Day
1.31272
Adjusted RN Staffing Hours per Resident per Day
0.44383
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12780
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
26
Cycle 1 Total Health Score
78
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-10-30
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
32
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
65.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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