Autumn Hill, Inc - Berryville Nursing Home
General Information
UPDATEFederal Provider Number
45295
Provider Name
AUTUMN HILL, INC
Provider Address
500 HAMMOND AVENUE
BERRYVILLE, AR 72616
BERRYVILLE, AR 72616
Provider Phone Number
(870) 423-6966
Provider SSA County
70
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN HILL INC
Date First Approved to Provide Medicare and Medicaid services
1995-11-01
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.04308
Reported LPN Staffing Hours per Resident per Day
0.76385
Reported RN Staffing Hours per Resident per Day
0.21923
Reported Licensed Staffing Hours per Resident per Day
0.98308
Reported Total Nurse Staffing Hours per Resident per Day
4.02616
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01077
Expected CNA Staffing Hours per Resident per Day
2.33827
Expected LPN Staffing Hours per Resident per Day
0.54886
Expected RN Staffing Hours per Resident per Day
0.84914
Expected Total Nurse Staffing Hours per Resident per Day
3.73626
Adjusted CNA Staffing Hours per Resident per Day
3.19331
Adjusted LPN Staffing Hours per Resident per Day
1.15511
Adjusted RN Staffing Hours per Resident per Day
0.19291
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34366
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
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
52
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
54.66700
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
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