Maple Grove Lodge
Maple Grove Lodge Information
| Facility Name | Maple Grove Lodge |
| Location | 2407 Kentucky Street, Louisiana, MO 63353 |
| County (SSA Code) | Pike (810) |
| Phone Number | 573-754-5456 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 90 |
| Average Number of Residents | 50.7 |
| 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 | COMMUNITY CARE CENTER OF LOUISIANA, INC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2002-08-26 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.45483 |
| Reported LPN Staffing Hours per Resident per Day | 0.94463 |
| Reported RN Staffing - Hours per Resident per Day | 0.24268 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.18731 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.64214 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04598 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.78801 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.62823 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28303 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.69927 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.30183 |
| Total Weighted Health Survey Score for three cycles | 118.167 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-20 |
| Rating cycle 1 - Health Deficiency Score | 14 |
| Rating cycle 1 - Total Health Inspection Score | 40 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-07 |
| Rating cycle 2 - Health Deficiency Score | 40 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-26 |
| Rating cycle 3 - Health Deficiency Score | 56 |
| Rating cycle 3 - Total Health Inspection Score | 56 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 13351 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |