Westphalia Hills-a Stonebridge Community - Westphalia Nursing Home
General Information
UPDATEFederal Provider Number
265777
Provider Name
WESTPHALIA HILLS-A STONEBRIDGE COMMUNITY
Provider Address
1899 HIGHWAY 63
WESTPHALIA, MO 65085
WESTPHALIA, MO 65085
Provider Phone Number
(573) 455-2280
Provider SSA County
750
Provider County Name
Osage
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELDERCARE OF MID MISSOURI VI INC
Date First Approved to Provide Medicare and Medicaid services
2004-01-28
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.96875
Reported LPN Staffing Hours per Resident per Day
0.60446
Reported RN Staffing Hours per Resident per Day
0.73839
Reported Licensed Staffing Hours per Resident per Day
1.34286
Reported Total Nurse Staffing Hours per Resident per Day
4.31160
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02321
Expected CNA Staffing Hours per Resident per Day
2.24877
Expected LPN Staffing Hours per Resident per Day
0.59107
Expected RN Staffing Hours per Resident per Day
0.86873
Expected Total Nurse Staffing Hours per Resident per Day
3.70857
Adjusted CNA Staffing Hours per Resident per Day
3.23929
Adjusted LPN Staffing Hours per Resident per Day
0.84881
Adjusted RN Staffing Hours per Resident per Day
0.63509
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68634
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
16
Cycle 2 Standard Health Survey Date
2013-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-01-05
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
12
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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