Presbyterian Village Of Homer - Homer Nursing Home

General Information

UPDATE
Federal Provider Number
195579
Provider Name
PRESBYTERIAN VILLAGE OF HOMER
Provider Address
3700 HWY. 79 SOUTH
HOMER, LA 71040
Provider Phone Number
(318) 927-6133
Provider SSA County
130
Provider County Name
Claiborne
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN VILLAGE OF HOMER, LA, INC
Date First Approved to Provide Medicare and Medicaid services
2003-04-14
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
3
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
3.06026
Reported LPN Staffing Hours per Resident per Day
1.28205
Reported RN Staffing Hours per Resident per Day
0.30385
Reported Licensed Staffing Hours per Resident per Day
1.58590
Reported Total Nurse Staffing Hours per Resident per Day
4.64616
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06026
Expected CNA Staffing Hours per Resident per Day
2.02636
Expected LPN Staffing Hours per Resident per Day
0.58066
Expected RN Staffing Hours per Resident per Day
0.82197
Expected Total Nurse Staffing Hours per Resident per Day
3.42899
Adjusted CNA Staffing Hours per Resident per Day
3.70565
Adjusted LPN Staffing Hours per Resident per Day
1.83258
Adjusted RN Staffing Hours per Resident per Day
0.27621
Adjusted Total Nurse Staffing Hours per Resident per Day
5.46173
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
12
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
34.00000
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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