Clayton Nursing And Rehab - Clayton Nursing Home
General Information
UPDATEFederal Provider Number
325100
Provider Name
CLAYTON NURSING AND REHAB
Provider Address
419 HARDING STREET
CLAYTON, NM 88415
CLAYTON, NM 88415
Provider Phone Number
5753742353
Provider SSA County
290
Provider County Name
Union
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAYTON HEALTH FACILITIES, LP
Date First Approved to Provide Medicare and Medicaid services
1994-11-02
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91515
Reported LPN Staffing Hours per Resident per Day
0.40606
Reported RN Staffing Hours per Resident per Day
0.69697
Reported Licensed Staffing Hours per Resident per Day
1.10303
Reported Total Nurse Staffing Hours per Resident per Day
3.01818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17576
Expected CNA Staffing Hours per Resident per Day
2.28843
Expected LPN Staffing Hours per Resident per Day
0.58781
Expected RN Staffing Hours per Resident per Day
0.82892
Expected Total Nurse Staffing Hours per Resident per Day
3.70516
Adjusted CNA Staffing Hours per Resident per Day
2.05346
Adjusted LPN Staffing Hours per Resident per Day
0.57337
Adjusted RN Staffing Hours per Resident per Day
0.62826
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28352
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-26
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.66700
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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