Montana Nursing Homes >> Big Sandy Nursing Homes >> Big Sandy Medical Center Ltc

Big Sandy Medical Center Ltc - Big Sandy Nursing Home

General Information

UPDATE
Federal Provider Number
275116
Provider Name
BIG SANDY MEDICAL CENTER LTC
Provider Address
166 MONTANA AVE E
BIG SANDY, MT 59520
Provider Phone Number
4063782188
Provider SSA County
70
Provider County Name
Chouteau
Ownership Type
Non profit - Other
Number of Certified Beds
22
Number of Residents in Certified Beds
15
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
BIG SANDY MEDICAL CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1986-06-03
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.19000
Reported LPN Staffing Hours per Resident per Day
0.14667
Reported RN Staffing Hours per Resident per Day
1.58000
Reported Licensed Staffing Hours per Resident per Day
1.72667
Reported Total Nurse Staffing Hours per Resident per Day
4.91667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38000
Expected CNA Staffing Hours per Resident per Day
2.23000
Expected LPN Staffing Hours per Resident per Day
0.48024
Expected RN Staffing Hours per Resident per Day
0.60643
Expected Total Nurse Staffing Hours per Resident per Day
3.31667
Adjusted CNA Staffing Hours per Resident per Day
3.51000
Adjusted LPN Staffing Hours per Resident per Day
0.25349
Adjusted RN Staffing Hours per Resident per Day
1.94677
Adjusted Total Nurse Staffing Hours per Resident per Day
5.97546
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
20
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-12
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
0
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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