Bonnie Bluejacket Memorial Nursing Home - Basin Nursing Home
General Information
UPDATEFederal Provider Number
535019
Provider Name
BONNIE BLUEJACKET MEMORIAL NURSING HOME
Provider Address
388 SOUTH US HWY 20
BASIN, WY 82410
BASIN, WY 82410
Provider Phone Number
(307) 568-3311
Provider SSA County
10
Provider County Name
Big Horn
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
37
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SOUTH BIG HORN COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1984-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.84600
Reported LPN Staffing Hours per Resident per Day
0.54800
Reported RN Staffing Hours per Resident per Day
1.00800
Reported Licensed Staffing Hours per Resident per Day
1.55600
Reported Total Nurse Staffing Hours per Resident per Day
4.40200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09800
Expected CNA Staffing Hours per Resident per Day
2.09089
Expected LPN Staffing Hours per Resident per Day
0.50000
Expected RN Staffing Hours per Resident per Day
0.68036
Expected Total Nurse Staffing Hours per Resident per Day
3.27125
Adjusted CNA Staffing Hours per Resident per Day
3.33983
Adjusted LPN Staffing Hours per Resident per Day
0.90968
Adjusted RN Staffing Hours per Resident per Day
1.10703
Adjusted Total Nurse Staffing Hours per Resident per Day
5.42423
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
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
56
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
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
16
Cycle 3 Standard Health Survey Date
2013-08-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
54.66700
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
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Nursiong Homes Nearby
Wyoming Retirement Center
890 Us Hwy 20 South |
BASIN WY 82410 | 1.3 miles away