Montana Nursing Homes >> Baker Nursing Homes >> Fallon Medical Complex N H

Fallon Medical Complex N H - Baker Nursing Home

General Information

UPDATE
Federal Provider Number
275095
Provider Name
FALLON MEDICAL COMPLEX N H
Provider Address
202 S 4TH ST W
BAKER, MT 59313
Provider Phone Number
4067783331
Provider SSA County
120
Provider County Name
Fallon
Ownership Type
Government - County
Number of Certified Beds
15
Number of Residents in Certified Beds
15
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
FALLON MEDICAL COMPLEX INC
Date First Approved to Provide Medicare and Medicaid services
1978-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.63000
Reported LPN Staffing Hours per Resident per Day
0.25667
Reported RN Staffing Hours per Resident per Day
1.10333
Reported Licensed Staffing Hours per Resident per Day
1.36000
Reported Total Nurse Staffing Hours per Resident per Day
2.99000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02333
Expected CNA Staffing Hours per Resident per Day
2.26522
Expected LPN Staffing Hours per Resident per Day
0.68511
Expected RN Staffing Hours per Resident per Day
0.89767
Expected Total Nurse Staffing Hours per Resident per Day
3.84800
Adjusted CNA Staffing Hours per Resident per Day
1.76562
Adjusted LPN Staffing Hours per Resident per Day
0.31095
Adjusted RN Staffing Hours per Resident per Day
0.91839
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13212
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
2014-12-18
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-29
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
1.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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