Gaye Haven Intermediate Care Facility - Las Vegas Nursing Home
General Information
UPDATEFederal Provider Number
29000000000000000000000
Provider Name
GAYE HAVEN INTERMEDIATE CARE FACILITY
Provider Address
1813 BETTY LANE
LAS VEGAS, NV 89156
LAS VEGAS, NV 89156
Provider Phone Number
(702) 452-8399
Provider SSA County
10
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
20
Number of Residents in Certified Beds
19
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1977-04-01
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
3
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
1.68421
Reported LPN Staffing Hours per Resident per Day
1.02368
Reported RN Staffing Hours per Resident per Day
0.51053
Reported Licensed Staffing Hours per Resident per Day
1.53421
Reported Total Nurse Staffing Hours per Resident per Day
3.21842
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.75296
Expected LPN Staffing Hours per Resident per Day
0.53787
Expected RN Staffing Hours per Resident per Day
0.70981
Expected Total Nurse Staffing Hours per Resident per Day
3.00065
Adjusted CNA Staffing Hours per Resident per Day
2.35746
Adjusted LPN Staffing Hours per Resident per Day
1.57966
Adjusted RN Staffing Hours per Resident per Day
0.53742
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32344
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
52
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
93.33300
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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