Booker T. Washington Guest Care Center - Shreveport Nursing Home

General Information

UPDATE
Federal Provider Number
195615
Provider Name
BOOKER T. WASHINGTON GUEST CARE CENTER
Provider Address
7605 LINE AVENUE
SHREVEPORT, LA 71106
Provider Phone Number
3182192608
Provider SSA County
80
Provider County Name
Caddo
Ownership Type
For profit - Partnership
Number of Certified Beds
80
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BOOKER T. WASHINGTON GUEST CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-10-03
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
2.16111
Reported LPN Staffing Hours per Resident per Day
1.09722
Reported RN Staffing Hours per Resident per Day
0.34931
Reported Licensed Staffing Hours per Resident per Day
1.44653
Reported Total Nurse Staffing Hours per Resident per Day
3.60764
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03958
Expected CNA Staffing Hours per Resident per Day
2.46737
Expected LPN Staffing Hours per Resident per Day
0.76894
Expected RN Staffing Hours per Resident per Day
1.34856
Expected Total Nurse Staffing Hours per Resident per Day
4.58486
Adjusted CNA Staffing Hours per Resident per Day
2.14914
Adjusted LPN Staffing Hours per Resident per Day
1.18436
Adjusted RN Staffing Hours per Resident per Day
0.19354
Adjusted Total Nurse Staffing Hours per Resident per Day
3.17175
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
28
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
40
Cycle 2 Standard Health Survey Date
2013-05-16
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
34.00000
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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