Nursing Home

KATY MANOR

Overall Rating

Address

205 Prospect

Pilot Grove, MO 65276

Contact

6608343111

Certification Date

2006-03-15

Details

CMS Certification Number

265801

Ownership Type

Non profit - Other

Number of Certified Beds

60

Average Number of Residents per Day

55.0

Provider Type

Medicare and Medicaid

Legal Business Name

COOPER COUNTY NURSING HOME DISTRICT NO 1

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

4

Quality Measure Rating

4

Staffing Rating

2

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.66570

Reported LPN Staffing Hours per Resident per Day

0.66618

Reported RN Staffing Hours per Resident per Day

0.26540

Reported Total Nurse Staffing Hours per Resident per Day

3.59727

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

3.48713

Registered Nurse Hours per Resident per Day on the Weekend

0.19856

Reported Physical Therapist Staffing Hours per Resident Per Day

0.01483

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

42.000

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

3

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-12-01

Total Number of Health Deficiencies

4

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

0

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 2

Standard Health Survey Date

2022-10-06

Total Number of Health Deficiencies

9

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

3

Health Deficiency Score

64

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

64

Rating Cycle 3

Standard Health Survey Date

2019-02-20

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

40

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

40

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

25606.10

Number of Payment Denials

0

Total Number of Penalties

1