Willow Care Rehabilitation & Health Care Center - Hannibal Nursing Home
General Information
UPDATEFederal Provider Number
265462
Provider Name
WILLOW CARE REHABILITATION & HEALTH CARE CENTER
Provider Address
328 MUNGER LANE
HANNIBAL, MO 63401
HANNIBAL, MO 63401
Provider Phone Number
(573) 221-9122
Provider SSA County
630
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TUTERA ACQUIRERS, INC
Date First Approved to Provide Medicare and Medicaid services
1991-08-02
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10068
Reported LPN Staffing Hours per Resident per Day
0.94392
Reported RN Staffing Hours per Resident per Day
0.48649
Reported Licensed Staffing Hours per Resident per Day
1.43041
Reported Total Nurse Staffing Hours per Resident per Day
3.53109
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07703
Expected CNA Staffing Hours per Resident per Day
2.44854
Expected LPN Staffing Hours per Resident per Day
0.63513
Expected RN Staffing Hours per Resident per Day
0.90945
Expected Total Nurse Staffing Hours per Resident per Day
3.99312
Adjusted CNA Staffing Hours per Resident per Day
2.10511
Adjusted LPN Staffing Hours per Resident per Day
1.23353
Adjusted RN Staffing Hours per Resident per Day
0.39970
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56450
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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