Rosebud Health Care Center - Forsyth Nursing Home
General Information
UPDATEFederal Provider Number
275072
Provider Name
ROSEBUD HEALTH CARE CENTER
Provider Address
383 N 17TH AVE
FORSYTH, MT 59327
FORSYTH, MT 59327
Provider Phone Number
4063464243
Provider SSA County
430
Provider County Name
Rosebud
Ownership Type
Non profit - Corporation
Number of Certified Beds
31
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ROSEBUD COMMUNITY HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1977-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.87115
Reported LPN Staffing Hours per Resident per Day
0.06538
Reported RN Staffing Hours per Resident per Day
1.62500
Reported Licensed Staffing Hours per Resident per Day
1.69038
Reported Total Nurse Staffing Hours per Resident per Day
4.56153
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05577
Expected CNA Staffing Hours per Resident per Day
2.05231
Expected LPN Staffing Hours per Resident per Day
0.55237
Expected RN Staffing Hours per Resident per Day
0.76948
Expected Total Nurse Staffing Hours per Resident per Day
3.37415
Adjusted CNA Staffing Hours per Resident per Day
3.43269
Adjusted LPN Staffing Hours per Resident per Day
0.09824
Adjusted RN Staffing Hours per Resident per Day
1.57796
Adjusted Total Nurse Staffing Hours per Resident per Day
5.44939
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
12
Cycle 2 Standard Health Survey Date
2013-12-19
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
24.00000
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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