Woodland Hills-a Stonebridge Community - Marble Hill Nursing Home
General Information
UPDATEFederal Provider Number
265553
Provider Name
WOODLAND HILLS-A STONEBRIDGE COMMUNITY
Provider Address
702 HIGHWAY 34 WEST
MARBLE HILL, MO 63764
MARBLE HILL, MO 63764
Provider Phone Number
(573) 238-2614
Provider SSA County
80
Provider County Name
Bollinger
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELDERCARE OF MARBLE HILL, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-10-21
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.73000
Reported LPN Staffing Hours per Resident per Day
0.38625
Reported RN Staffing Hours per Resident per Day
0.56438
Reported Licensed Staffing Hours per Resident per Day
0.95063
Reported Total Nurse Staffing Hours per Resident per Day
3.68063
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07125
Expected CNA Staffing Hours per Resident per Day
2.48802
Expected LPN Staffing Hours per Resident per Day
0.68395
Expected RN Staffing Hours per Resident per Day
1.07290
Expected Total Nurse Staffing Hours per Resident per Day
4.24487
Adjusted CNA Staffing Hours per Resident per Day
2.69234
Adjusted LPN Staffing Hours per Resident per Day
0.46873
Adjusted RN Staffing Hours per Resident per Day
0.39305
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49510
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-20
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
25.33300
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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