Willow Care Nursing Home - Willow Springs Nursing Home
General Information
UPDATEFederal Provider Number
265335
Provider Name
WILLOW CARE NURSING HOME
Provider Address
2646 STATE ROUTE 76, PO BOX 309
WILLOW SPRINGS, MO 65793
WILLOW SPRINGS, MO 65793
Provider Phone Number
(417) 469-3152
Provider SSA County
450
Provider County Name
Howell
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOW HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
1988-10-21
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.99067
Reported LPN Staffing Hours per Resident per Day
0.92267
Reported RN Staffing Hours per Resident per Day
0.39800
Reported Licensed Staffing Hours per Resident per Day
1.32067
Reported Total Nurse Staffing Hours per Resident per Day
4.31134
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07600
Expected CNA Staffing Hours per Resident per Day
2.47375
Expected LPN Staffing Hours per Resident per Day
0.64273
Expected RN Staffing Hours per Resident per Day
0.89557
Expected Total Nurse Staffing Hours per Resident per Day
4.01204
Adjusted CNA Staffing Hours per Resident per Day
2.96643
Adjusted LPN Staffing Hours per Resident per Day
1.19150
Adjusted RN Staffing Hours per Resident per Day
0.33206
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33160
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
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
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
48.00000
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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