Dewitt Nursing Home - De Witt Nursing Home
General Information
UPDATEFederal Provider Number
45365
Provider Name
DEWITT NURSING HOME
Provider Address
1605 SOUTH MADISON ST
DE WITT, AR 72042
DE WITT, AR 72042
Provider Phone Number
(870) 946-3571
Provider SSA County
0
Provider County Name
Arkansas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
DEWITT HOSPITAL & NURSING HOME INC.
Date First Approved to Provide Medicare and Medicaid services
2001-03-20
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.85889
Reported LPN Staffing Hours per Resident per Day
0.79889
Reported RN Staffing Hours per Resident per Day
0.54556
Reported Licensed Staffing Hours per Resident per Day
1.34444
Reported Total Nurse Staffing Hours per Resident per Day
4.20334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00333
Expected CNA Staffing Hours per Resident per Day
1.89792
Expected LPN Staffing Hours per Resident per Day
0.49519
Expected RN Staffing Hours per Resident per Day
0.61670
Expected Total Nurse Staffing Hours per Resident per Day
3.00981
Adjusted CNA Staffing Hours per Resident per Day
3.69608
Adjusted LPN Staffing Hours per Resident per Day
1.33904
Adjusted RN Staffing Hours per Resident per Day
0.66100
Adjusted Total Nurse Staffing Hours per Resident per Day
5.62934
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
16
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
111
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
56
Cycle 2 Total Health Score
167
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
73.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
49400
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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