Claiborne Rehabilitation - Homer Nursing Home
General Information
UPDATEFederal Provider Number
195545
Provider Name
CLAIBORNE REHABILITATION
Provider Address
6942 HIGHWAY 79
HOMER, LA 71040
HOMER, LA 71040
Provider Phone Number
3189273586
Provider SSA County
130
Provider County Name
Claiborne
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAIBORNE MANOR NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
2002-04-17
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
4
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
2.06447
Reported LPN Staffing Hours per Resident per Day
1.67105
Reported RN Staffing Hours per Resident per Day
1.12237
Reported Licensed Staffing Hours per Resident per Day
2.79342
Reported Total Nurse Staffing Hours per Resident per Day
4.85789
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12368
Expected CNA Staffing Hours per Resident per Day
2.38818
Expected LPN Staffing Hours per Resident per Day
0.64333
Expected RN Staffing Hours per Resident per Day
1.07861
Expected Total Nurse Staffing Hours per Resident per Day
4.11012
Adjusted CNA Staffing Hours per Resident per Day
2.12111
Adjusted LPN Staffing Hours per Resident per Day
2.15592
Adjusted RN Staffing Hours per Resident per Day
0.77751
Adjusted Total Nurse Staffing Hours per Resident per Day
4.76426
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-11-14
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
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
1
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
Nursiong Homes Nearby
Heritage Nursing Center
1745 Bailey Avenue |
HAYNESVILLE LA 71038 | 6.5 miles away
Presbyterian Village Of Homer
3700 Hwy. 79 South |
HOMER LA 71040 | 7.7 miles away
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