Bennett County Hospital And Nursing Home - Martin Nursing Home

General Information

UPDATE
Federal Provider Number
43A075
Provider Name
BENNETT COUNTY HOSPITAL AND NURSING HOME
Provider Address
102 MAJOR ALLEN POST OFFICE BOX 70
MARTIN, SD 57551
Provider Phone Number
6056856586
Provider SSA County
30
Provider County Name
Bennett
Ownership Type
Non profit - Other
Number of Certified Beds
40
Number of Residents in Certified Beds
37
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
1983-09-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.43108
Reported LPN Staffing Hours per Resident per Day
0.63514
Reported RN Staffing Hours per Resident per Day
0.48108
Reported Licensed Staffing Hours per Resident per Day
1.11622
Reported Total Nurse Staffing Hours per Resident per Day
3.54730
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00811
Expected CNA Staffing Hours per Resident per Day
2.07007
Expected LPN Staffing Hours per Resident per Day
0.56136
Expected RN Staffing Hours per Resident per Day
0.75387
Expected Total Nurse Staffing Hours per Resident per Day
3.38530
Adjusted CNA Staffing Hours per Resident per Day
2.88162
Adjusted LPN Staffing Hours per Resident per Day
0.93908
Adjusted RN Staffing Hours per Resident per Day
0.47683
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22380
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-25
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
79.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
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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