White River Healthcare - Calico Rock Nursing Home
General Information
UPDATEFederal Provider Number
45401
Provider Name
WHITE RIVER HEALTHCARE
Provider Address
1569 AR HIGHWAY 56
CALICO ROCK, AR 72519
CALICO ROCK, AR 72519
Provider Phone Number
8702973719
Provider SSA County
320
Provider County Name
Izard
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITE RIVER HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
2004-07-20
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.33375
Reported LPN Staffing Hours per Resident per Day
0.95750
Reported RN Staffing Hours per Resident per Day
0.34250
Reported Licensed Staffing Hours per Resident per Day
1.30000
Reported Total Nurse Staffing Hours per Resident per Day
3.63375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05375
Expected CNA Staffing Hours per Resident per Day
2.19855
Expected LPN Staffing Hours per Resident per Day
0.53398
Expected RN Staffing Hours per Resident per Day
0.82828
Expected Total Nurse Staffing Hours per Resident per Day
3.56081
Adjusted CNA Staffing Hours per Resident per Day
2.60459
Adjusted LPN Staffing Hours per Resident per Day
1.48830
Adjusted RN Staffing Hours per Resident per Day
0.30897
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11347
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-03-14
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Pioneer Therapy And Living
1506 East Main Street |
MELBOURNE AR 72556 | 14.9 miles away
Crownpoint Health & Rehab Center
1203 South Bend Drive |
HORSESHOE BEND AR 72512 | 21.7 miles away
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