Care Manor Nursing & Rehab - Mountain Home Nursing Home
General Information
UPDATEFederal Provider Number
45351
Provider Name
CARE MANOR NURSING & REHAB
Provider Address
804 BURNETT DRIVE
MOUNTAIN HOME, AR 72653
MOUNTAIN HOME, AR 72653
Provider Phone Number
(870) 424-5030
Provider SSA County
20
Provider County Name
Baxter
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MHCNC, INC.
Date First Approved to Provide Medicare and Medicaid services
1999-08-25
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.48456
Reported LPN Staffing Hours per Resident per Day
1.22794
Reported RN Staffing Hours per Resident per Day
0.27279
Reported Licensed Staffing Hours per Resident per Day
1.50074
Reported Total Nurse Staffing Hours per Resident per Day
3.98529
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08382
Expected CNA Staffing Hours per Resident per Day
2.54026
Expected LPN Staffing Hours per Resident per Day
0.60980
Expected RN Staffing Hours per Resident per Day
0.92289
Expected Total Nurse Staffing Hours per Resident per Day
4.07295
Adjusted CNA Staffing Hours per Resident per Day
2.39990
Adjusted LPN Staffing Hours per Resident per Day
1.67136
Adjusted RN Staffing Hours per Resident per Day
0.22086
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94415
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
36
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2014-05-16
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
54
Cycle 2 Total Health Score
162
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2013-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
90.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
4000
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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