Potosi Manor, Inc
Potosi Manor, Inc Information
| Facility Name | Potosi Manor, Inc |
| Location | 307 South Highway 21, Potosi, MO 63664 |
| County (SSA Code) | Washington (992) |
| Phone Number | 573-438-3225 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 90 |
| Average Number of Residents | 55 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | POTOSI MANOR, INC. |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1997-08-11 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.76952 |
| Reported LPN Staffing Hours per Resident per Day | 0.57837 |
| Reported RN Staffing - Hours per Resident per Day | 0.39943 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 0.97779 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.74731 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02766 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.94937 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.64499 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.27541 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.86978 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.05214 |
| Total Weighted Health Survey Score for three cycles | 9.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-26 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-22 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-12 |
| Rating cycle 3 - Health Deficiency Score | 8 |
| Rating cycle 3 - Total Health Inspection Score | 8 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |