Grover C. Dils Medical Center Snf - Caliente Nursing Home

General Information

UPDATE
Federal Provider Number
295026
Provider Name
GROVER C. DILS MEDICAL CENTER SNF
Provider Address
700 N SPRING ST, BOX 1010-C-ADM BLDG
CALIENTE, NV 89008
Provider Phone Number
7757263171
Provider SSA County
80
Provider County Name
Lincoln
Ownership Type
Government - Hospital district
Number of Certified Beds
16
Number of Residents in Certified Beds
14
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
LINCOLN COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1974-09-27
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
2.61071
Reported LPN Staffing Hours per Resident per Day
0.75357
Reported RN Staffing Hours per Resident per Day
3.33571
Reported Licensed Staffing Hours per Resident per Day
4.08929
Reported Total Nurse Staffing Hours per Resident per Day
6.69999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.10007
Expected LPN Staffing Hours per Resident per Day
0.60410
Expected RN Staffing Hours per Resident per Day
1.13471
Expected Total Nurse Staffing Hours per Resident per Day
3.83888
Adjusted CNA Staffing Hours per Resident per Day
3.05032
Adjusted LPN Staffing Hours per Resident per Day
1.03537
Adjusted RN Staffing Hours per Resident per Day
2.19654
Adjusted Total Nurse Staffing Hours per Resident per Day
7.03512
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
0
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
104
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
38.66700
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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