Wilson's Creek Nursing & Rehab - Springfield Nursing Home

General Information

UPDATE
Federal Provider Number
265161
Provider Name
WILSON'S CREEK NURSING & REHAB
Provider Address
3403 WEST MT VERNON
SPRINGFIELD, MO 65802
Provider Phone Number
(417) 864-5600
Provider SSA County
380
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
172
Number of Residents in Certified Beds
153
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N & R OF SPRINGFIELD WEST LLC
Date First Approved to Provide Medicare and Medicaid services
1982-01-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
3.02255
Reported LPN Staffing Hours per Resident per Day
0.48595
Reported RN Staffing Hours per Resident per Day
0.50000
Reported Licensed Staffing Hours per Resident per Day
0.98595
Reported Total Nurse Staffing Hours per Resident per Day
4.00850
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00948
Expected CNA Staffing Hours per Resident per Day
2.10766
Expected LPN Staffing Hours per Resident per Day
0.55873
Expected RN Staffing Hours per Resident per Day
0.75316
Expected Total Nurse Staffing Hours per Resident per Day
3.41955
Adjusted CNA Staffing Hours per Resident per Day
3.51880
Adjusted LPN Staffing Hours per Resident per Day
0.72189
Adjusted RN Staffing Hours per Resident per Day
0.49604
Adjusted Total Nurse Staffing Hours per Resident per Day
4.72514
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
8.66700
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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