Brendan House - Kalispell Nursing Home

General Information

UPDATE
Federal Provider Number
275109
Provider Name
BRENDAN HOUSE
Provider Address
350 CONWAY DR
KALISPELL, MT 59901
Provider Phone Number
4067516500
Provider SSA County
140
Provider County Name
Flathead
Ownership Type
Non profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
NORTHWEST HORIZONS, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-04-17
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
2
QM Rating Footnote
Staffing Rating
4
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
2.73535
Reported LPN Staffing Hours per Resident per Day
0.65354
Reported RN Staffing Hours per Resident per Day
1.15505
Reported Licensed Staffing Hours per Resident per Day
1.80859
Reported Total Nurse Staffing Hours per Resident per Day
4.54394
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17475
Expected CNA Staffing Hours per Resident per Day
2.46893
Expected LPN Staffing Hours per Resident per Day
0.69480
Expected RN Staffing Hours per Resident per Day
1.21578
Expected Total Nurse Staffing Hours per Resident per Day
4.37950
Adjusted CNA Staffing Hours per Resident per Day
2.71848
Adjusted LPN Staffing Hours per Resident per Day
0.78072
Adjusted RN Staffing Hours per Resident per Day
0.70988
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18225
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
2014-04-24
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-03-28
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
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
10.00000
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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