Forest Haven Nursing & Rehab Ctr, Llc - Jonesboro Nursing Home
General Information
UPDATEFederal Provider Number
195463
Provider Name
FOREST HAVEN NURSING & REHAB CTR, LLC
Provider Address
171 THRASHER DRIVE
JONESBORO, LA 71251
JONESBORO, LA 71251
Provider Phone Number
3182592729
Provider SSA County
240
Provider County Name
Jackson
Ownership Type
For profit - Corporation
Number of Certified Beds
139
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOREST HAVEN NURSING & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.02459
Reported LPN Staffing Hours per Resident per Day
1.01598
Reported RN Staffing Hours per Resident per Day
0.35902
Reported Licensed Staffing Hours per Resident per Day
1.37500
Reported Total Nurse Staffing Hours per Resident per Day
3.39959
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04631
Expected CNA Staffing Hours per Resident per Day
2.52082
Expected LPN Staffing Hours per Resident per Day
0.71866
Expected RN Staffing Hours per Resident per Day
1.05912
Expected Total Nurse Staffing Hours per Resident per Day
4.29860
Adjusted CNA Staffing Hours per Resident per Day
1.97068
Adjusted LPN Staffing Hours per Resident per Day
1.17338
Adjusted RN Staffing Hours per Resident per Day
0.25329
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18787
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-28
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-25
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
22.00000
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
Nursiong Homes Nearby
Wyatt Manor Nursing And Rehab Ctr, Inc
4659 Highway 505 |
JONESBORO LA 71251 | 5.1 miles away
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