Montana Nursing Homes >> Crow Agency Nursing Homes >> Awe Kualawaache Care Center

Awe Kualawaache Care Center - Crow Agency Nursing Home

General Information

UPDATE
Federal Provider Number
275153
Provider Name
AWE KUALAWAACHE CARE CENTER
Provider Address
10131 S HERITAGE RD
CROW AGENCY, MT 59022
Provider Phone Number
4066389111
Provider SSA County
10
Provider County Name
Big Horn
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
15
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AWE KUALAWAACHE CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1998-06-09
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
3
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
3.20000
Reported LPN Staffing Hours per Resident per Day
1.54000
Reported RN Staffing Hours per Resident per Day
0.48667
Reported Licensed Staffing Hours per Resident per Day
2.02667
Reported Total Nurse Staffing Hours per Resident per Day
5.22667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.09378
Expected LPN Staffing Hours per Resident per Day
0.61400
Expected RN Staffing Hours per Resident per Day
0.81167
Expected Total Nurse Staffing Hours per Resident per Day
3.51944
Adjusted CNA Staffing Hours per Resident per Day
3.75008
Adjusted LPN Staffing Hours per Resident per Day
2.08176
Adjusted RN Staffing Hours per Resident per Day
0.44802
Adjusted Total Nurse Staffing Hours per Resident per Day
5.98622
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
414
Cycle 2 Standard Health Survey Date
2014-02-28
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
164.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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

Heritage Acres Nursing Home

200 N Mitchell Ave | HARDIN MT 59034 | 11.6 miles away

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