Davis East - Pine Bluff Nursing Home
General Information
UPDATEFederal Provider Number
45311
Provider Name
DAVIS EAST
Provider Address
6811 SOUTH HAZEL STREET
PINE BLUFF, AR 71603
PINE BLUFF, AR 71603
Provider Phone Number
8705351155
Provider SSA County
340
Provider County Name
Jefferson
Ownership Type
Non profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAZEL STREET NURSING ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
1996-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.83780
Reported LPN Staffing Hours per Resident per Day
1.27988
Reported RN Staffing Hours per Resident per Day
0.24390
Reported Licensed Staffing Hours per Resident per Day
1.52378
Reported Total Nurse Staffing Hours per Resident per Day
4.36158
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01402
Expected CNA Staffing Hours per Resident per Day
1.99861
Expected LPN Staffing Hours per Resident per Day
0.54592
Expected RN Staffing Hours per Resident per Day
0.72850
Expected Total Nurse Staffing Hours per Resident per Day
3.27302
Adjusted CNA Staffing Hours per Resident per Day
3.48398
Adjusted LPN Staffing Hours per Resident per Day
1.94589
Adjusted RN Staffing Hours per Resident per Day
0.25016
Adjusted Total Nurse Staffing Hours per Resident per Day
5.37152
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
54
Cycle 1 Total Health Score
162
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-08
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
109.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
18395
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Davis Life Care Center
6810 South Hazel |
PINE BLUFF AR 71603 | 0.3 mile away
Arkansas Convalescent Center
6301 South Hazel |
PINE BLUFF AR 71603 | 0.5 mile away
Trinity Village Medical Center
6400 Trinity Drive |
PINE BLUFF AR 71603 | 0.6 mile away
Jefferson Regional Medical Center
1600 West 40th Avenue |
PINE BLUFF AR 71603 | 2.3 miles away
White Hall Health And Rehab, Llc
9209 Dollarway Road |
WHITE HALL AR 71602 | 9.8 miles away
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