Cla-clif Nursing And Rehab Center, Inc - Brinkley Nursing Home
General Information
UPDATEFederal Provider Number
45430
Provider Name
CLA-CLIF NURSING AND REHAB CENTER, INC
Provider Address
1214 NORTH MAIN
BRINKLEY, AR 72021
BRINKLEY, AR 72021
Provider Phone Number
(870) 734-3636
Provider SSA County
470
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLA-CLIF NURSING AND REHAB CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2009-06-19
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.09722
Reported LPN Staffing Hours per Resident per Day
0.76852
Reported RN Staffing Hours per Resident per Day
0.48333
Reported Licensed Staffing Hours per Resident per Day
1.25185
Reported Total Nurse Staffing Hours per Resident per Day
4.34907
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00648
Expected CNA Staffing Hours per Resident per Day
2.17983
Expected LPN Staffing Hours per Resident per Day
0.62599
Expected RN Staffing Hours per Resident per Day
1.00612
Expected Total Nurse Staffing Hours per Resident per Day
3.81194
Adjusted CNA Staffing Hours per Resident per Day
3.48635
Adjusted LPN Staffing Hours per Resident per Day
1.01897
Adjusted RN Staffing Hours per Resident per Day
0.35895
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59888
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
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
76
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
173
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
173
Total Weighted Health Survey Score
104.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
5850
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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