South Dakota Nursing Homes >> White River Nursing Homes >> White River Health Care Center

White River Health Care Center - White River Nursing Home

General Information

UPDATE
Federal Provider Number
43A089
Provider Name
WHITE RIVER HEALTH CARE CENTER
Provider Address
515 E 8TH STREET POST OFFICE BOX 310
WHITE RIVER, SD 57579
Provider Phone Number
6052593161
Provider SSA County
470
Provider County Name
Mellette
Ownership Type
Non profit - Other
Number of Certified Beds
52
Number of Residents in Certified Beds
39
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1990-05-17
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08974
Reported LPN Staffing Hours per Resident per Day
1.04487
Reported RN Staffing Hours per Resident per Day
0.35513
Reported Licensed Staffing Hours per Resident per Day
1.40000
Reported Total Nurse Staffing Hours per Resident per Day
3.48974
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.08777
Expected LPN Staffing Hours per Resident per Day
0.58747
Expected RN Staffing Hours per Resident per Day
0.78778
Expected Total Nurse Staffing Hours per Resident per Day
3.46302
Adjusted CNA Staffing Hours per Resident per Day
2.45602
Adjusted LPN Staffing Hours per Resident per Day
1.47622
Adjusted RN Staffing Hours per Resident per Day
0.33684
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06200
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
44
Cycle 2 Number of Standard Health Deficiencies
44
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
549
Cycle 2 Standard Health Survey Date
2013-07-02
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
275
Cycle 2 Total Health Score
275
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-06-20
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
44
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
304.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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