Claiborne Healthcare Center - Shreveport Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
195316
Provider Name
CLAIBORNE HEALTHCARE CENTER
Provider Address
1536 CLAIBORNE AVENUE
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
Provider Phone Number
(318) 631-3426
Provider SSA County
80
Provider County Name
Caddo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEXION HEALTH AT CLAIBORNE, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-02-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
1.16094
Reported LPN Staffing Hours per Resident per Day
1.69609
Reported RN Staffing Hours per Resident per Day
0.30391
Reported Licensed Staffing Hours per Resident per Day
2.00000
Reported Total Nurse Staffing Hours per Resident per Day
3.16094
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08906
Expected CNA Staffing Hours per Resident per Day
2.29319
Expected LPN Staffing Hours per Resident per Day
0.61943
Expected RN Staffing Hours per Resident per Day
1.15278
Expected Total Nurse Staffing Hours per Resident per Day
4.06540
Adjusted CNA Staffing Hours per Resident per Day
1.24220
Adjusted LPN Staffing Hours per Resident per Day
2.27265
Adjusted RN Staffing Hours per Resident per Day
0.19699
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13411
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
3
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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