Willard Care Center - Willard Nursing Home
General Information
UPDATEFederal Provider Number
265455
Provider Name
WILLARD CARE CENTER
Provider Address
400 WEST WALNUT LANE
WILLARD, MO 65781
WILLARD, MO 65781
Provider Phone Number
(417) 742-3593
Provider SSA County
380
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
66
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF WILLARD LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-06
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.86349
Reported LPN Staffing Hours per Resident per Day
0.47143
Reported RN Staffing Hours per Resident per Day
0.35952
Reported Licensed Staffing Hours per Resident per Day
0.83095
Reported Total Nurse Staffing Hours per Resident per Day
2.69444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01270
Expected CNA Staffing Hours per Resident per Day
2.45688
Expected LPN Staffing Hours per Resident per Day
0.69844
Expected RN Staffing Hours per Resident per Day
1.08486
Expected Total Nurse Staffing Hours per Resident per Day
4.24019
Adjusted CNA Staffing Hours per Resident per Day
1.86107
Adjusted LPN Staffing Hours per Resident per Day
0.56023
Adjusted RN Staffing Hours per Resident per Day
0.24762
Adjusted Total Nurse Staffing Hours per Resident per Day
2.56145
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-13
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
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-04-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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