Crestpark Forrest City, Llc - Forrest City Nursing Home
General Information
UPDATEFederal Provider Number
45219
Provider Name
CRESTPARK FORREST CITY, LLC
Provider Address
500 KITTEL RD
FORREST CITY, AR 72335
FORREST CITY, AR 72335
Provider Phone Number
8706334260
Provider SSA County
610
Provider County Name
St. Francis
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTPARK FORREST CITY, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.30878
Reported LPN Staffing Hours per Resident per Day
1.00676
Reported RN Staffing Hours per Resident per Day
0.33649
Reported Licensed Staffing Hours per Resident per Day
1.34324
Reported Total Nurse Staffing Hours per Resident per Day
4.65203
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00203
Expected CNA Staffing Hours per Resident per Day
2.32938
Expected LPN Staffing Hours per Resident per Day
0.58552
Expected RN Staffing Hours per Resident per Day
0.83793
Expected Total Nurse Staffing Hours per Resident per Day
3.75282
Adjusted CNA Staffing Hours per Resident per Day
3.48538
Adjusted LPN Staffing Hours per Resident per Day
1.42712
Adjusted RN Staffing Hours per Resident per Day
0.30006
Adjusted Total Nurse Staffing Hours per Resident per Day
4.99674
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
24
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
48.00000
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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