Platte County Memorial Nursing Home - Wheatland Nursing Home
General Information
UPDATEFederal Provider Number
535053
Provider Name
PLATTE COUNTY MEMORIAL NURSING HOME
Provider Address
204 15TH STREET
WHEATLAND, WY 82201
WHEATLAND, WY 82201
Provider Phone Number
3073226406
Provider SSA County
150
Provider County Name
Platte
Ownership Type
Government - Hospital district
Number of Certified Beds
43
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLATTE COUNTY HOSPITAL DISTRICT BOARD
Date First Approved to Provide Medicare and Medicaid services
2010-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.17949
Reported LPN Staffing Hours per Resident per Day
0.40769
Reported RN Staffing Hours per Resident per Day
1.13846
Reported Licensed Staffing Hours per Resident per Day
1.54615
Reported Total Nurse Staffing Hours per Resident per Day
3.72564
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02692
Expected CNA Staffing Hours per Resident per Day
2.13038
Expected LPN Staffing Hours per Resident per Day
0.58775
Expected RN Staffing Hours per Resident per Day
0.91707
Expected Total Nurse Staffing Hours per Resident per Day
3.63520
Adjusted CNA Staffing Hours per Resident per Day
2.51026
Adjusted LPN Staffing Hours per Resident per Day
0.57573
Adjusted RN Staffing Hours per Resident per Day
0.92758
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13119
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
3
Cycle 1 Health Revisit Score
59
Cycle 1 Total Health Score
143
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-24
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
86.83300
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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