Concordia Nursing & Rehab, Llc - Bella Vista Nursing Home
General Information
UPDATEFederal Provider Number
45143
Provider Name
CONCORDIA NURSING & REHAB, LLC
Provider Address
7 PROFESSIONAL DRIVE
BELLA VISTA, AR 72714
BELLA VISTA, AR 72714
Provider Phone Number
(479) 855-3735
Provider SSA County
30
Provider County Name
Benton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONCORDIA NURSING & REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-01
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
1
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
3.25156
Reported LPN Staffing Hours per Resident per Day
0.92891
Reported RN Staffing Hours per Resident per Day
0.35859
Reported Licensed Staffing Hours per Resident per Day
1.28750
Reported Total Nurse Staffing Hours per Resident per Day
4.53906
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00078
Expected CNA Staffing Hours per Resident per Day
2.40774
Expected LPN Staffing Hours per Resident per Day
0.55686
Expected RN Staffing Hours per Resident per Day
0.78648
Expected Total Nurse Staffing Hours per Resident per Day
3.75107
Adjusted CNA Staffing Hours per Resident per Day
3.31363
Adjusted LPN Staffing Hours per Resident per Day
1.38455
Adjusted RN Staffing Hours per Resident per Day
0.34068
Adjusted Total Nurse Staffing Hours per Resident per Day
4.87767
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
2014-10-30
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
4
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
91
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
91
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
346
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
3
Cycle 3 Health Revisit Score
242
Cycle 3 Total Health Score
588
Total Weighted Health Survey Score
128.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
4
Total Amount of Fines in Dollars
50830
Number of Payment Denials
1
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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