Faulkton Senior Living - Faulkton Nursing Home
General Information
UPDATEFederal Provider Number
435084
Provider Name
FAULKTON SENIOR LIVING
Provider Address
1401 PEARL ST
FAULKTON, SD 57438
FAULKTON, SD 57438
Provider Phone Number
6055986214
Provider SSA County
240
Provider County Name
Faulk
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAULKTON HEALTHCARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1995-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.13778
Reported LPN Staffing Hours per Resident per Day
0.32222
Reported RN Staffing Hours per Resident per Day
0.75667
Reported Licensed Staffing Hours per Resident per Day
1.07889
Reported Total Nurse Staffing Hours per Resident per Day
3.21667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01889
Expected CNA Staffing Hours per Resident per Day
2.06398
Expected LPN Staffing Hours per Resident per Day
0.61013
Expected RN Staffing Hours per Resident per Day
0.85207
Expected Total Nurse Staffing Hours per Resident per Day
3.52618
Adjusted CNA Staffing Hours per Resident per Day
2.54144
Adjusted LPN Staffing Hours per Resident per Day
0.43833
Adjusted RN Staffing Hours per Resident per Day
0.66354
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67709
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-17
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
20.66700
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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