Crestpark Dewitt, Llc - De Witt Nursing Home
General Information
UPDATEFederal Provider Number
45177
Provider Name
CRESTPARK DEWITT, LLC
Provider Address
1325 LIBERTY DRIVE
DE WITT, AR 72042
DE WITT, AR 72042
Provider Phone Number
(870) 946-3569
Provider SSA County
0
Provider County Name
Arkansas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTPARK DEWITT, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
QM Rating Footnote
Staffing Rating
4
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
3.13824
Reported LPN Staffing Hours per Resident per Day
1.01176
Reported RN Staffing Hours per Resident per Day
0.45392
Reported Licensed Staffing Hours per Resident per Day
1.46569
Reported Total Nurse Staffing Hours per Resident per Day
4.60392
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02843
Expected CNA Staffing Hours per Resident per Day
2.02771
Expected LPN Staffing Hours per Resident per Day
0.56326
Expected RN Staffing Hours per Resident per Day
0.77131
Expected Total Nurse Staffing Hours per Resident per Day
3.36228
Adjusted CNA Staffing Hours per Resident per Day
3.79754
Adjusted LPN Staffing Hours per Resident per Day
1.49090
Adjusted RN Staffing Hours per Resident per Day
0.43973
Adjusted Total Nurse Staffing Hours per Resident per Day
5.51946
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
247
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
124
Cycle 3 Total Health Score
371
Total Weighted Health Survey Score
96.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Dewitt Nursing Home
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