Warsaw Health And Rehabilitation Center - Warsaw Nursing Home
General Information
UPDATEFederal Provider Number
265566
Provider Name
WARSAW HEALTH AND REHABILITATION CENTER
Provider Address
1609 SUNCHASE DRIVE
WARSAW, MO 65355
WARSAW, MO 65355
Provider Phone Number
(660) 438-2970
Provider SSA County
70
Provider County Name
Benton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHPORT HEALTH SERVICES OF MISSOURI LLC
Date First Approved to Provide Medicare and Medicaid services
1994-02-15
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
2.75580
Reported LPN Staffing Hours per Resident per Day
0.75072
Reported RN Staffing Hours per Resident per Day
0.45217
Reported Licensed Staffing Hours per Resident per Day
1.20290
Reported Total Nurse Staffing Hours per Resident per Day
3.95869
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16232
Expected CNA Staffing Hours per Resident per Day
2.20987
Expected LPN Staffing Hours per Resident per Day
0.63809
Expected RN Staffing Hours per Resident per Day
0.95052
Expected Total Nurse Staffing Hours per Resident per Day
3.79847
Adjusted CNA Staffing Hours per Resident per Day
3.05987
Adjusted LPN Staffing Hours per Resident per Day
0.97651
Adjusted RN Staffing Hours per Resident per Day
0.35545
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20092
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-03-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
7.33300
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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