Montgomery County Nursing Home - Mount Ida Nursing Home
General Information
UPDATEFederal Provider Number
45266
Provider Name
MONTGOMERY COUNTY NURSING HOME
Provider Address
741 SOUTH DRIVE
MOUNT IDA, AR 71957
MOUNT IDA, AR 71957
Provider Phone Number
8708672156
Provider SSA County
480
Provider County Name
Montgomery
Ownership Type
Government - County
Number of Certified Beds
112
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTGOMERY COUNTY NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1995-02-01
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
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
3.84010
Reported LPN Staffing Hours per Resident per Day
0.83168
Reported RN Staffing Hours per Resident per Day
0.18366
Reported Licensed Staffing Hours per Resident per Day
1.01535
Reported Total Nurse Staffing Hours per Resident per Day
4.85544
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03762
Expected CNA Staffing Hours per Resident per Day
2.33222
Expected LPN Staffing Hours per Resident per Day
0.56128
Expected RN Staffing Hours per Resident per Day
0.77975
Expected Total Nurse Staffing Hours per Resident per Day
3.67324
Adjusted CNA Staffing Hours per Resident per Day
4.04013
Adjusted LPN Staffing Hours per Resident per Day
1.22986
Adjusted RN Staffing Hours per Resident per Day
0.17599
Adjusted Total Nurse Staffing Hours per Resident per Day
5.32821
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-27
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
21.33300
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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