Nursing Home

WOODLAND MANOR

Overall Rating

Cited for abuse

Address

1347 East Valley Watermill Road

Springfield, MO 65803

Contact

4178331220

Certification Date

2002-12-27

Details

CMS Certification Number

265749

Ownership Type

For profit - Individual

Number of Certified Beds

94

Average Number of Residents per Day

71.6

Provider Type

Medicare and Medicaid

Legal Business Name

EBG HEALTH CARE III INC

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

2

Quality Measure Rating

2

Staffing Rating

1

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.98427

Reported LPN Staffing Hours per Resident per Day

0.79846

Reported RN Staffing Hours per Resident per Day

0.35541

Reported Total Nurse Staffing Hours per Resident per Day

3.13813

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

2.59071

Registered Nurse Hours per Resident per Day on the Weekend

0.30212

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00932

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

Inspections

Total Weighted Health Survey Score

58.667

Number of Facility Reported Incidents

9

Number of Substantiated Complaints

6

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-10-20

Total Number of Health Deficiencies

14

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

8

Health Deficiency Score

64

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

64

Rating Cycle 2

Standard Health Survey Date

2020-02-27

Total Number of Health Deficiencies

8

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

5

Health Deficiency Score

52

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

52

Rating Cycle 3

Standard Health Survey Date

2019-01-24

Total Number of Health Deficiencies

7

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

3

Health Deficiency Score

56

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

56

Penalties

Number of Fines

3

Total Amount of Fines in Dollars

4885.15

Number of Payment Denials

1

Total Number of Penalties

4