Village Care Center Inc - Maryville Nursing Home
General Information
UPDATEFederal Provider Number
265643
Provider Name
VILLAGE CARE CENTER INC
Provider Address
810 EAST EDWARDS STREET
MARYVILLE, MO 64468
MARYVILLE, MO 64468
Provider Phone Number
(660) 562-3515
Provider SSA County
730
Provider County Name
Nodaway
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLAGE CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1996-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
3.81333
Reported LPN Staffing Hours per Resident per Day
1.00500
Reported RN Staffing Hours per Resident per Day
0.76333
Reported Licensed Staffing Hours per Resident per Day
1.76833
Reported Total Nurse Staffing Hours per Resident per Day
5.58166
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00667
Expected CNA Staffing Hours per Resident per Day
1.93962
Expected LPN Staffing Hours per Resident per Day
0.53939
Expected RN Staffing Hours per Resident per Day
0.81230
Expected Total Nurse Staffing Hours per Resident per Day
3.29132
Adjusted CNA Staffing Hours per Resident per Day
4.82402
Adjusted LPN Staffing Hours per Resident per Day
1.54646
Adjusted RN Staffing Hours per Resident per Day
0.70215
Adjusted Total Nurse Staffing Hours per Resident per Day
6.83590
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
24
Cycle 1 Standard Survey Health Date
2014-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
28
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2012-04-20
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
72
Cycle 3 Total Health Score
216
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Nodaway Nursing Home
22371 State Highway 46, Po Box 307 |
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