Arkansas Convalescent Center - Pine Bluff Nursing Home
General Information
UPDATEFederal Provider Number
45277
Provider Name
ARKANSAS CONVALESCENT CENTER
Provider Address
6301 SOUTH HAZEL
PINE BLUFF, AR 71603
PINE BLUFF, AR 71603
Provider Phone Number
(870) 534-8153
Provider SSA County
340
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
103
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ACC 1, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-05-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.05476
Reported LPN Staffing Hours per Resident per Day
0.80952
Reported RN Staffing Hours per Resident per Day
0.52381
Reported Licensed Staffing Hours per Resident per Day
1.33333
Reported Total Nurse Staffing Hours per Resident per Day
4.38809
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04226
Expected CNA Staffing Hours per Resident per Day
2.31623
Expected LPN Staffing Hours per Resident per Day
0.60942
Expected RN Staffing Hours per Resident per Day
0.84629
Expected Total Nurse Staffing Hours per Resident per Day
3.77194
Adjusted CNA Staffing Hours per Resident per Day
3.23606
Adjusted LPN Staffing Hours per Resident per Day
1.10252
Adjusted RN Staffing Hours per Resident per Day
0.46248
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68935
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
42
Cycle 1 Total Health Score
126
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
168
Cycle 3 Standard Health Survey Date
2013-08-16
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
84
Cycle 3 Total Health Score
252
Total Weighted Health Survey Score
131.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
2
Total Amount of Fines in Dollars
5525
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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