Central Montana Nursing & Rehabilitation Center - Lewistown Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
275064
Provider Name
CENTRAL MONTANA NURSING & REHABILITATION CENTER
Provider Address
408 WENDELL AVE
LEWISTOWN, MT 59457
LEWISTOWN, MT 59457
Provider Phone Number
(406) 535-6229
Provider SSA County
130
Provider County Name
Fergus
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EMPRES AT LEWISTOWN LLC
Date First Approved to Provide Medicare and Medicaid services
1977-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
1
Health Inspection Rating Footnote
QM Rating
4
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
2.38929
Reported LPN Staffing Hours per Resident per Day
0.09643
Reported RN Staffing Hours per Resident per Day
1.18095
Reported Licensed Staffing Hours per Resident per Day
1.27738
Reported Total Nurse Staffing Hours per Resident per Day
3.66667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.53468
Expected LPN Staffing Hours per Resident per Day
0.59308
Expected RN Staffing Hours per Resident per Day
0.87830
Expected Total Nurse Staffing Hours per Resident per Day
4.00606
Adjusted CNA Staffing Hours per Resident per Day
2.31295
Adjusted LPN Staffing Hours per Resident per Day
0.13495
Adjusted RN Staffing Hours per Resident per Day
1.00467
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68941
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
365
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
365
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-01-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
210.50000
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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