Sweet Memorial Nursing Home - Chinook Nursing Home
General Information
UPDATEFederal Provider Number
275127
Provider Name
SWEET MEMORIAL NURSING HOME
Provider Address
125 AIRPORT RD
CHINOOK, MT 59523
CHINOOK, MT 59523
Provider Phone Number
4063572549
Provider SSA County
20
Provider County Name
Blaine
Ownership Type
Non profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SWEET MEMORIAL NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1989-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.38462
Reported LPN Staffing Hours per Resident per Day
0.53846
Reported RN Staffing Hours per Resident per Day
0.60128
Reported Licensed Staffing Hours per Resident per Day
1.13974
Reported Total Nurse Staffing Hours per Resident per Day
3.52436
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09872
Expected CNA Staffing Hours per Resident per Day
2.21530
Expected LPN Staffing Hours per Resident per Day
0.56955
Expected RN Staffing Hours per Resident per Day
0.83347
Expected Total Nurse Staffing Hours per Resident per Day
3.61831
Adjusted CNA Staffing Hours per Resident per Day
2.64124
Adjusted LPN Staffing Hours per Resident per Day
0.78470
Adjusted RN Staffing Hours per Resident per Day
0.53904
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92623
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-16
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
34.66700
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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