Clovis Healthcare And Rehabilitation Center - Clovis Nursing Home

General Information

UPDATE
Federal Provider Number
325077
Provider Name
CLOVIS HEALTHCARE AND REHABILITATION CENTER
Provider Address
1201 NORTH NORRIS STREET
CLOVIS, NM 88101
Provider Phone Number
5757623754
Provider SSA County
40
Provider County Name
Curry
Ownership Type
For profit - Limited Liability
Number of Certified Beds
90
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLOVIS HEALTHCARE AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00857
Reported LPN Staffing Hours per Resident per Day
0.65214
Reported RN Staffing Hours per Resident per Day
0.53143
Reported Licensed Staffing Hours per Resident per Day
1.18357
Reported Total Nurse Staffing Hours per Resident per Day
3.19214
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07786
Expected CNA Staffing Hours per Resident per Day
2.07062
Expected LPN Staffing Hours per Resident per Day
0.60122
Expected RN Staffing Hours per Resident per Day
0.99674
Expected Total Nurse Staffing Hours per Resident per Day
3.66858
Adjusted CNA Staffing Hours per Resident per Day
2.38017
Adjusted LPN Staffing Hours per Resident per Day
0.90030
Adjusted RN Staffing Hours per Resident per Day
0.39838
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50741
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-04-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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

Nursiong Homes Nearby

St Anthony Healthcare And Rehab Center, L

1400 West 21st Street | CLOVIS NM 88101 | 2.6 miles away

Retirement Ranches Inc.

2221 Dillon | CLOVIS NM 88101 | 3.2 miles away

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