Contact Information

LBN: N & R OF ADVANCE, INC.
315 SOUTH TILLEY STREET
ADVANCE, MO 63730
(573) 722-3440
Ownership1: For profit - Corporation
Medicare certification date2: November 01, 1993
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

•   25 residents

•   70 certified beds

•   Participates in Medicare and Medicaid

•   Resident Council only - Resident and family councils can help communications with staff. Federal law requires nursing homes to allow councils to be set up by residents and families.

•   Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Higher staffing levels in a nursing home may mean better quality care for residents.

Staffing for 25 residents Missouri Average National Average
Hours by Registered Nurse (RN) per resident per day 27 minutes 28 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 49 minutes 46 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 3 minutes 2 hours, 17 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 minutes 5 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Health Inspection

Most recent health inspection: Aug 17, 2018

Number of health citations / deficiencies: 1

Health care professionals inspect each nursing home for health and safety violations. - View the latest Medicare Inspection Report


Quality of Care

Measure Nursing Home Missouri Nationwide
Short-stay residents who self-report moderate to severe pain 18.2% 16.3% 12.8%
Short-stay residents with pressure ulcers that are new or worsened none 1.2% 0.9%
Short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 65.5% 73.5% 81.8%
Short-stay residents assessed and appropriately given the pneumococcal vaccine 41.5% 74.9% 83.3%
Short-stay residents who newly received an antipsychotic medication 2.5% 2.1% 1.9%
Short-stay residents who made improvements in function 91.3% 70.7% 68.0%
Long-stay residents whose need for help with daily activities has increased 11.0% 15.0% 14.9%
Long-stay residents who self-report moderate to severe pain none 7.3% 5.7%
High risk long-stay residents with pressure ulcers 2.0% 6.1% 5.6%
Long-stay residents who lose too much weight 8.9% 7.0% 7.0%
Low risk long-stay residents who lose control of their bowels or bladder 15.8% 32.6% 48.2%
Long-stay residents with a catheter inserted and left in their bladder 2.6% 2.2% 1.8%
Long-stay residents with a urinary tract infection 7.8% 3.9% 3.0%
Long-stay residents who have depressive symptoms none 3.0% 4.6%
Long-stay residents who were physically restrained none 0.3% 0.3%
Long-stay residents experiencing one or more falls with major injury 9.8% 4.3% 3.4%
Long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.2% 94.0% 95.2%
Long-stay residents assessed and appropriately given the pneumococcal vaccine 87.0% 89.5% 93.9%
Long-stay residents who received an antipsychotic medication 16.3% 18.8% 15.0%
Long-stay residents whose ability to move independently worsened 8.6% 16.0% 18.2%
Long-stay residents who received an antianxiety or hypnotic medication 28.6% 26.2% 21.6%

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