Woodland Manor Nursing Center - Arnold Nursing Home
General Information
UPDATEFederal Provider Number
265324
Provider Name
WOODLAND MANOR NURSING CENTER
Provider Address
100 WOODLAND COURT
ARNOLD, MO 63010
ARNOLD, MO 63010
Provider Phone Number
(636) 296-1400
Provider SSA County
490
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
178
Number of Residents in Certified Beds
157
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODLAND MANOR OF ARNOLD LLC
Date First Approved to Provide Medicare and Medicaid services
1988-03-31
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.49777
Reported LPN Staffing Hours per Resident per Day
0.66975
Reported RN Staffing Hours per Resident per Day
0.49904
Reported Licensed Staffing Hours per Resident per Day
1.16879
Reported Total Nurse Staffing Hours per Resident per Day
3.66656
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04809
Expected CNA Staffing Hours per Resident per Day
2.11895
Expected LPN Staffing Hours per Resident per Day
0.59629
Expected RN Staffing Hours per Resident per Day
0.92326
Expected Total Nurse Staffing Hours per Resident per Day
3.63850
Adjusted CNA Staffing Hours per Resident per Day
2.89237
Adjusted LPN Staffing Hours per Resident per Day
0.93225
Adjusted RN Staffing Hours per Resident per Day
0.40387
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06199
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
2014-09-29
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-06-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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