Evangeline Oaks Guest House - Carencro Nursing Home
General Information
UPDATEFederal Provider Number
195578
Provider Name
EVANGELINE OAKS GUEST HOUSE
Provider Address
240 ARCENEAUX ROAD
CARENCRO, LA 70520
CARENCRO, LA 70520
Provider Phone Number
3378969227
Provider SSA County
270
Provider County Name
Lafayette
Ownership Type
For profit - Corporation
Number of Certified Beds
190
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARENCRO NUSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
2003-04-11
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.31434
Reported LPN Staffing Hours per Resident per Day
1.00664
Reported RN Staffing Hours per Resident per Day
0.16608
Reported Licensed Staffing Hours per Resident per Day
1.17273
Reported Total Nurse Staffing Hours per Resident per Day
3.48706
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03007
Expected CNA Staffing Hours per Resident per Day
2.06288
Expected LPN Staffing Hours per Resident per Day
0.59428
Expected RN Staffing Hours per Resident per Day
0.90316
Expected Total Nurse Staffing Hours per Resident per Day
3.56033
Adjusted CNA Staffing Hours per Resident per Day
2.75279
Adjusted LPN Staffing Hours per Resident per Day
1.40592
Adjusted RN Staffing Hours per Resident per Day
0.13740
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94795
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
40
Cycle 2 Standard Health Survey Date
2013-04-25
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
30
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
565
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
3
Cycle 3 Health Revisit Score
396
Cycle 3 Total Health Score
961
Total Weighted Health Survey Score
191.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
2
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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