Provider Name: PHELPS HEALTH
Address: 1000 W TENTH ST, ROLLA, MO 65401
Phone: (573) 364-8899
County: Phelps (800)
Ownership Type: Non profit - Other
Certified Beds: 20
Average Residents Per Day: 8.4 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: PHELPS COUNTY REGIONAL MEDICAL CENTER
First Approved Date: June 30, 1988
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 3 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 3 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.98211, LPN Staff Hours Per Day: 0.3544, RN Staff Hours Per Day: 5.1139, Licensed Staff Hours Per Day: 5.4683
Total Nurse Staff Hours Per Day, per resident: 7.45045
Weekend Nurse Staff Hours: 6.42018, Weekend RN Staff Hours: 4.8367
PT Staff Hours Per Day, per resident: 1.5661
Nurse Staff Turnover: 22.7, Nurse Turnover Note:
RN Turnover: 28.6, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.9314, Case Mix LPN Hours Per Day: 0.7345, Case Mix RN Hours Per Day: 0.4447
Adjusted Nurse Aide Hours Per Day, per resident: 2.09073, Adjusted LPN Hours Per Day: 0.3560, Adjusted RN Hours Per Day: 4.3324
Total Adjusted Nurse Hours Per Day, per resident: 7.54930
Adjusted Weekend Nurse Hours Per Day, per resident: 6.50536
Health Survey Dates and Scores: Cycle 1: 2023-12-28 (Score: 4), Cycle 2: 2023-01-19 (Score: 8), Cycle 3: 2019-11-26 (Score: 8)
Total Weighted Health Score: 6.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 1000 W TENTH ST,ROLLA,MO,65401 (37.9514, -91.786)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2024-01-24
Type: Health, Deficiency: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-03-03
Type: Health, Deficiency: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-01-09
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0131, Version: New
Description: Meet requirements for sections of health care facilities separated by fire resistive construction.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2024-02-02
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2024-01-18
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-03-01
Type: Fire Safety, Tag: 0712, Version: New
Description: Have simulated fire drills held at unexpected times.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-12-18