Pleasant Valley Manor Care Center · Pleasant Valley Manor Inc

8167815277 · 6814 Sobbie Road, Liberty, MO 64068

Overview

Pleasant Valley Manor Care Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #265679. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 6814 Sobbie Road, Liberty, MO 64068. The overall rating is 2.

Federal Provider Number 265679
Provider Name PLEASANT VALLEY MANOR CARE CENTER
Legal Business Name PLEASANT VALLEY MANOR INC
Address 6814 Sobbie Road
Liberty
MO 64068
County Clay
Telephone 8167815277
Ownership Type For profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 1997-08-01
Number of Certified Beds 102
Average Number of Residents per Day 78.2
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago Y
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 3
Quality Measure Rating 3
Long Stay Quality Measure Rating 5
Short Stay Quality Measure Rating 1
Staffing Rating 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Registered Nurses Staffing Rating 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Reported CNA Staffing Hours per Resident per Day 2.43222
Reported LPN Staffing Hours per Resident per Day 0.86844
Reported RN Staffing Hours per Resident per Day 0.13853
Reported Licensed Staffing Hours per Resident per Day 1.00698
Reported Total Nurse Staffing Hours per Resident per Day 3.43920
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04896
Expected CNA Staffing Hours per Resident per Day 1.98616
Expected LPN Staffing Hours per Resident per Day 0.65799
Expected RN Staffing Hours per Resident per Day 0.33694
Expected Total Nurse Staffing Hours per Resident per Day 2.98109
Adjusted CNA Staffing Hours per Resident per Day 2.52117
Adjusted LPN Staffing Hours per Resident per Day 0.97788
Adjusted RN Staffing Hours per Resident per Day 0.16454
Adjusted Total Nurse Staffing Hours per Resident per Day 3.69163
Rating Cycle 1 Standard Survey Health Date 2019-02-21
Rating Cycle 1 Total Number of Health Deficiencies 9
Rating Cycle 1 Number of Standard Health Deficiencies 8
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 60
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 60
Rating Cycle 2 Standard Health Survey Date 2018-02-13
Rating Cycle 2 Total Number of Health Deficiencies 6
Rating Cycle 2 Number of Standard Health Deficiencies 6
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 36
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 36
Rating Cycle 3 Standard Health Survey Date 2017-04-21
Rating Cycle 3 Total Number of Health Deficiencies 5
Rating Cycle 3 Number of Standard Health Deficiencies 5
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 40
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 40
Total Weighted Health Survey Score 48.667
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 0
Number of Citations from Infection Control Inspections 1
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
PLEASANT VALLEY MANOR CARE CENTER

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTJUCKETTE, JOYCE EIndividual100%since 01/01/1999
5% OR GREATER DIRECT OWNERSHIP INTERESTPLEASANT VALLEY MANOR INCOrganizationNO PERCENTAGE PROVIDEDsince 12/03/2008
DIRECTORJUCKETTE, HOLLYIndividualsince 11/03/2015
DIRECTORJUCKETTE, JOYCE EIndividualsince 11/01/2013
DIRECTORNEUROTH, TERIIndividualsince 11/03/2015
DIRECTORSTEELE, LISAIndividualsince 11/03/2015
DIRECTORSTEELE, RANDALLIndividualsince 07/01/2009
MANAGING EMPLOYEELAIR, DEBRAIndividualsince 12/01/2008
OFFICERJUCKETTE, HOLLYIndividualsince 11/03/2015
OFFICERJUCKETTE, JOYCE EIndividualsince 11/03/2015
OFFICERNEUROTH, TERIIndividualsince 11/03/2015
OFFICERSTEELE, LISAIndividualsince 11/03/2015
OPERATIONAL/MANAGERIAL CONTROLJUCKETTE MANAGEMENT SERVICES INCOrganizationsince 12/03/2008

Location Information

Street Address 6814 SOBBIE ROAD
City LIBERTY
State MO
Zip Code 64068

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.