Provider Name: SOUTHBROOK NURSING CENTER
Address: 1101 HAZEL LANE, FARMINGTON, MO 63640
Phone: (573) 756-6658
County: St. Francois (930)
Ownership Type: For profit - Limited Liability company
Certified Beds: 104
Average Residents Per Day: 92.6 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: AMERICARE AT MAPLEBROOK SKILLED NURSING LLC
First Approved Date: September 6, 1989
Affiliated Entity: AMERICARE SENIOR LIVING (34)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.55488, LPN Staff Hours Per Day: 0.7835, RN Staff Hours Per Day: 0.6168, Licensed Staff Hours Per Day: 1.4003
Total Nurse Staff Hours Per Day, per resident: 3.95523
Weekend Nurse Staff Hours: 3.52689, Weekend RN Staff Hours: 0.3268
PT Staff Hours Per Day, per resident: 0.0400
Nurse Staff Turnover: 59.0, Nurse Turnover Note:
RN Turnover: 45.5, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0310, Case Mix LPN Hours Per Day: 0.6935, Case Mix RN Hours Per Day: 0.3357
Adjusted Nurse Aide Hours Per Day, per resident: 2.56269, Adjusted LPN Hours Per Day: 0.8337, Adjusted RN Hours Per Day: 0.6922
Total Adjusted Nurse Hours Per Day, per resident: 4.07371
Adjusted Weekend Nurse Hours Per Day, per resident: 3.63255
Health Survey Dates and Scores: Cycle 1: 2023-11-03 (Score: 20), Cycle 2: 2022-03-10 (Score: 0), Cycle 3: 2019-07-30 (Score: 0)
Total Weighted Health Score: 10.000
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: 1101 HAZEL LANE,FARMINGTON,MO,63640 (37.7829, -90.443)
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: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 2023-12-13
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
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 2023-12-13
Type: Health, Deficiency: Provide safe, appropriate dialysis care/services for a resident who requires such services.
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 2023-12-13
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 2023-12-13
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: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
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 2022-03-11
Type: Fire Safety, Tag: 0920, Version: New
Description: Ensure proper usage of power strips and extension cords.
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 2022-04-08
Type: Fire Safety, Tag: 0223, Version: New
Description: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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 2019-09-19
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 2019-09-19