Hi-line Retirement Center - Malta Nursing Home
General Information
UPDATEFederal Provider Number
275131
Provider Name
HI-LINE RETIREMENT CENTER
Provider Address
801 S 3RD ST E
MALTA, MT 59538
MALTA, MT 59538
Provider Phone Number
4066541190
Provider SSA County
350
Provider County Name
Phillips
Ownership Type
Non profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HI-LINE RETIREMENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.48837
Reported LPN Staffing Hours per Resident per Day
0.28837
Reported RN Staffing Hours per Resident per Day
0.93023
Reported Licensed Staffing Hours per Resident per Day
1.21860
Reported Total Nurse Staffing Hours per Resident per Day
4.70697
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.06031
Expected LPN Staffing Hours per Resident per Day
0.55535
Expected RN Staffing Hours per Resident per Day
0.75750
Expected Total Nurse Staffing Hours per Resident per Day
3.37316
Adjusted CNA Staffing Hours per Resident per Day
4.15444
Adjusted LPN Staffing Hours per Resident per Day
0.43098
Adjusted RN Staffing Hours per Resident per Day
0.91758
Adjusted Total Nurse Staffing Hours per Resident per Day
5.62480
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-04-25
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
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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