Daniels Memorial Nursing Home - Scobey Nursing Home
General Information
UPDATEFederal Provider Number
275071
Provider Name
DANIELS MEMORIAL NURSING HOME
Provider Address
105 5TH AVE E
SCOBEY, MT 59263
SCOBEY, MT 59263
Provider Phone Number
4064872296
Provider SSA County
90
Provider County Name
Daniels
Ownership Type
Government - Hospital district
Number of Certified Beds
30
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1979-04-01
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
4
Health Inspection Rating Footnote
QM Rating
5
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
2.29444
Reported LPN Staffing Hours per Resident per Day
0.13148
Reported RN Staffing Hours per Resident per Day
2.65741
Reported Licensed Staffing Hours per Resident per Day
2.78889
Reported Total Nurse Staffing Hours per Resident per Day
5.08333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.42037
Expected CNA Staffing Hours per Resident per Day
2.09399
Expected LPN Staffing Hours per Resident per Day
0.50042
Expected RN Staffing Hours per Resident per Day
0.63696
Expected Total Nurse Staffing Hours per Resident per Day
3.23137
Adjusted CNA Staffing Hours per Resident per Day
2.68859
Adjusted LPN Staffing Hours per Resident per Day
0.21808
Adjusted RN Staffing Hours per Resident per Day
3.11731
Adjusted Total Nurse Staffing Hours per Resident per Day
6.34109
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-12
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
24.00000
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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