Pioneer Manor Nursing Home - Gillette Nursing Home
General Information
UPDATEFederal Provider Number
535022
Provider Name
PIONEER MANOR NURSING HOME
Provider Address
900 W 8TH ST
GILLETTE, WY 82716
GILLETTE, WY 82716
Provider Phone Number
3076824709
Provider SSA County
20
Provider County Name
Campbell
Ownership Type
Government - County
Number of Certified Beds
150
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1984-06-16
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.69420
Reported LPN Staffing Hours per Resident per Day
0.69286
Reported RN Staffing Hours per Resident per Day
0.92857
Reported Licensed Staffing Hours per Resident per Day
1.62143
Reported Total Nurse Staffing Hours per Resident per Day
4.31563
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06295
Expected CNA Staffing Hours per Resident per Day
2.32039
Expected LPN Staffing Hours per Resident per Day
0.65157
Expected RN Staffing Hours per Resident per Day
0.94338
Expected Total Nurse Staffing Hours per Resident per Day
3.91534
Adjusted CNA Staffing Hours per Resident per Day
2.84898
Adjusted LPN Staffing Hours per Resident per Day
0.88259
Adjusted RN Staffing Hours per Resident per Day
0.73547
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44300
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-07
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-06
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
22
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
132
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
132
Total Weighted Health Survey Score
50.00000
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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