Teton Nursing Home - Choteau Nursing Home
General Information
UPDATEFederal Provider Number
275075
Provider Name
TETON NURSING HOME
Provider Address
24 N MAIN
CHOTEAU, MT 59422
CHOTEAU, MT 59422
Provider Phone Number
4064665338
Provider SSA County
490
Provider County Name
Teton
Ownership Type
Government - County
Number of Certified Beds
41
Number of Residents in Certified Beds
20
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF TETON
Date First Approved to Provide Medicare and Medicaid services
1977-07-01
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
2
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
3.28500
Reported LPN Staffing Hours per Resident per Day
0.15750
Reported RN Staffing Hours per Resident per Day
1.35500
Reported Licensed Staffing Hours per Resident per Day
1.51250
Reported Total Nurse Staffing Hours per Resident per Day
4.79750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.26658
Expected LPN Staffing Hours per Resident per Day
0.54596
Expected RN Staffing Hours per Resident per Day
0.72526
Expected Total Nurse Staffing Hours per Resident per Day
3.53781
Adjusted CNA Staffing Hours per Resident per Day
3.55620
Adjusted LPN Staffing Hours per Resident per Day
0.23944
Adjusted RN Staffing Hours per Resident per Day
1.39598
Adjusted Total Nurse Staffing Hours per Resident per Day
5.46617
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-12-31
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Teton Medical Center N H
915 4th St Nw |
CHOTEAU MT 59422 | 0.5 mile away
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