Blue Mountain Care Center - Prairie City Nursing Home
General Information
UPDATEFederal Provider Number
380000000000000000000000000000
Provider Name
BLUE MOUNTAIN CARE CENTER
Provider Address
112 EAST FIFTH STREET
PRAIRIE CITY, OR 97869
PRAIRIE CITY, OR 97869
Provider Phone Number
5418203341
Provider SSA County
110
Provider County Name
Grant
Ownership Type
Government - Hospital district
Number of Certified Beds
48
Number of Residents in Certified Beds
18
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.72778
Reported LPN Staffing Hours per Resident per Day
0.42778
Reported RN Staffing Hours per Resident per Day
1.48333
Reported Licensed Staffing Hours per Resident per Day
1.91111
Reported Total Nurse Staffing Hours per Resident per Day
5.63889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.63157
Expected LPN Staffing Hours per Resident per Day
0.55380
Expected RN Staffing Hours per Resident per Day
0.69194
Expected Total Nurse Staffing Hours per Resident per Day
3.87731
Adjusted CNA Staffing Hours per Resident per Day
3.47581
Adjusted LPN Staffing Hours per Resident per Day
0.64113
Adjusted RN Staffing Hours per Resident per Day
1.60178
Adjusted Total Nurse Staffing Hours per Resident per Day
5.86225
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-10-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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