Deer Lodge - Deer Lodge Nursing Home
General Information
UPDATEFederal Provider Number
275134
Provider Name
DEER LODGE
Provider Address
1100 TEXAS AVE
DEER LODGE, MT 59722
DEER LODGE, MT 59722
Provider Phone Number
4068461655
Provider SSA County
380
Provider County Name
Powell
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1100 TEXAS AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.82692
Reported LPN Staffing Hours per Resident per Day
0.41058
Reported RN Staffing Hours per Resident per Day
0.82500
Reported Licensed Staffing Hours per Resident per Day
1.23558
Reported Total Nurse Staffing Hours per Resident per Day
3.06250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10288
Expected CNA Staffing Hours per Resident per Day
2.18734
Expected LPN Staffing Hours per Resident per Day
0.61189
Expected RN Staffing Hours per Resident per Day
0.87920
Expected Total Nurse Staffing Hours per Resident per Day
3.67844
Adjusted CNA Staffing Hours per Resident per Day
2.04939
Adjusted LPN Staffing Hours per Resident per Day
0.55693
Adjusted RN Staffing Hours per Resident per Day
0.70114
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35594
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-19
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
80.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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