Willow Care Nursing Home
2646 State Route 76, Po Box 309, Willow Springs, MO 65793


Willow Care Nursing Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 265335. The address is 2646 State Route 76, Po Box 309, Willow Springs, MO 65793. The zip code is 65793. The phone number is 4174693152.


Willow Care Nursing Home · 2646 State Route 76, Po Box 309, Willow Springs, MO 65793

Federal Provider Number 265335
Provider Name WILLOW CARE NURSING HOME
Address 2646 STATE ROUTE 76, PO BOX 309
WILLOW SPRINGS, MO 65793
Phone Number 4174693152
SSA County Code 450
County Name Howell
Ownership Type Non profit - Corporation
Certified Beds 105
Certified Beds Residents 72
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name WILLOW HEALTH CARE INC
Date First Approved to Provide Medicare Medicaid Services 10/21/1988
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 Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 2
Staffing Rating 4
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.77986
Reported LPN Staffing Hours per Resident per Day 0.94236
Reported RN Staffing Hours per Resident per Day 0.45694
Reported Licensed Staffing Hours per Resident per Day 1.39931
Reported Total Nurse Staffing Hours per Resident per Day 4.17916
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06042
Expected CNA Staffing Hours per Resident per Day 2.32835
Expected LPN Staffing Hours per Resident per Day 0.59355
Expected RN Staffing Hours per Resident per Day 0.86419
Expected Total Nurse Staffing Hours per Resident per Day 3.78609
Adjusted CNA Staffing Hours per Resident per Day 2.92951
Adjusted LPN Staffing Hours per Resident per Day 1.31777
Adjusted RN Staffing Hours per Resident per Day 0.39508
Adjusted Total Nurse Staffing Hours per Resident per Day 4.44938
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 01/06/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 02/11/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 02/20/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 21.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Willow Care Nursing Home

Owner Name Role Association Date
ALTER, SHIRLEY (Individual) MANAGING EMPLOYEE since 12/02/2009
AUALA, ELQUIN (Individual) DIRECTOR since 04/20/1999
CLARK, SHEILA (Individual) MANAGING EMPLOYEE since 12/02/2009
ELIJAH, LINDA (Individual) DIRECTOR since 04/20/2012
MCNEW, DEANNA (Individual) DIRECTOR since 07/20/2002
MILLER, SHERRY (Individual) DIRECTOR since 10/16/1994
MILLER, SHERRY (Individual) MANAGING EMPLOYEE since 12/02/2009
MILNER, CHARLES W (Individual) DIRECTOR since 07/20/1988
OGDEN, JAMES (Individual) DIRECTOR since 07/20/1987
VONALLMEN, DENNIS (Individual) DIRECTOR since 01/20/2007
WHITAKER, JACK (Individual) DIRECTOR since 01/01/1978
WHITAKER, JACK (Individual) MANAGING EMPLOYEE since 12/02/2009
WILLIAMSON, JACKIE (Individual) MANAGING EMPLOYEE since 12/02/2009
WILLOW HEALTH CARE INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/02/2009
YARBER, GARY (Individual) DIRECTOR since 09/20/2013

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