Bradford House Nursing And Rehab, Llc - Bentonville Nursing Home
General Information
UPDATEFederal Provider Number
45373
Provider Name
BRADFORD HOUSE NURSING AND REHAB, LLC
Provider Address
1202 S E 30TH STREET
BENTONVILLE, AR 72712
BENTONVILLE, AR 72712
Provider Phone Number
4792733430
Provider SSA County
30
Provider County Name
Benton
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRADFORD HOUSE NURSING AND REHAB, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-07-15
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
5
Health Inspection Rating Footnote
QM Rating
4
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
3.40000
Reported LPN Staffing Hours per Resident per Day
1.47531
Reported RN Staffing Hours per Resident per Day
0.59444
Reported Licensed Staffing Hours per Resident per Day
2.06975
Reported Total Nurse Staffing Hours per Resident per Day
5.46975
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13148
Expected CNA Staffing Hours per Resident per Day
2.45394
Expected LPN Staffing Hours per Resident per Day
0.64846
Expected RN Staffing Hours per Resident per Day
1.03448
Expected Total Nurse Staffing Hours per Resident per Day
4.13688
Adjusted CNA Staffing Hours per Resident per Day
3.39967
Adjusted LPN Staffing Hours per Resident per Day
1.88832
Adjusted RN Staffing Hours per Resident per Day
0.42936
Adjusted Total Nurse Staffing Hours per Resident per Day
5.32962
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
0
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
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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Bentonville Manor Nursing Home
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