Wilson's Creek Nursing & Rehab
3403 West Mt Vernon, Springfield, MO 65802


Wilson's Creek Nursing & Rehab is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 265161. The address is 3403 West Mt Vernon, Springfield, MO 65802. The zip code is 65802. The phone number is 4178645600.


Wilson's Creek Nursing & Rehab · 3403 West Mt Vernon, Springfield, MO 65802

Federal Provider Number 265161
Provider Name WILSON'S CREEK NURSING & REHAB
Address 3403 WEST MT VERNON
SPRINGFIELD, MO 65802
Phone Number 4178645600
SSA County Code 380
County Name Greene
Ownership Type For profit - Corporation
Certified Beds 172
Certified Beds Residents 144
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name N & R OF SPRINGFIELD WEST LLC
Date First Approved to Provide Medicare Medicaid Services 01/11/1982
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 4
Quality Measure Rating 3
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.22222
Reported LPN Staffing Hours per Resident per Day 0.5441
Reported RN Staffing Hours per Resident per Day 0.18819
Reported Licensed Staffing Hours per Resident per Day 0.73229
Reported Total Nurse Staffing Hours per Resident per Day 2.95451
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03854
Expected CNA Staffing Hours per Resident per Day 2.12427
Expected LPN Staffing Hours per Resident per Day 0.541
Expected RN Staffing Hours per Resident per Day 0.69216
Expected Total Nurse Staffing Hours per Resident per Day 3.35743
Adjusted CNA Staffing Hours per Resident per Day 2.56685
Adjusted LPN Staffing Hours per Resident per Day 0.83476
Adjusted RN Staffing Hours per Resident per Day 0.20315
Adjusted Total Nurse Staffing Hours per Resident per Day 3.54716
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 11/22/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Standard Health Survey Date 10/30/2015
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 01/09/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 15.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Wilson's Creek Nursing & Rehab

Owner Name Role Association Date
LINCOLN, JAMES (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 12/01/2014
LINCOLN, JUDY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 12/01/2014
LOONSFOOT, REBECCA (Individual) MANAGING EMPLOYEE since 12/01/2014
LTC MANAGEMENT SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2014

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