Green Meadow Haven - Coushatta Nursing Home
General Information
UPDATEFederal Provider Number
195562
Provider Name
GREEN MEADOW HAVEN
Provider Address
1110 RINGGOLD AVENUE
COUSHATTA, LA 71019
COUSHATTA, LA 71019
Provider Phone Number
3189325202
Provider SSA County
400
Provider County Name
Red River
Ownership Type
For profit - Corporation
Number of Certified Beds
157
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLD INC
Date First Approved to Provide Medicare and Medicaid services
2002-10-18
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.38474
Reported LPN Staffing Hours per Resident per Day
0.85579
Reported RN Staffing Hours per Resident per Day
0.43368
Reported Licensed Staffing Hours per Resident per Day
1.28947
Reported Total Nurse Staffing Hours per Resident per Day
3.67421
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06000
Expected CNA Staffing Hours per Resident per Day
1.97409
Expected LPN Staffing Hours per Resident per Day
0.55106
Expected RN Staffing Hours per Resident per Day
0.85433
Expected Total Nurse Staffing Hours per Resident per Day
3.37947
Adjusted CNA Staffing Hours per Resident per Day
2.96413
Adjusted LPN Staffing Hours per Resident per Day
1.28898
Adjusted RN Staffing Hours per Resident per Day
0.37930
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38245
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
24
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-07-11
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
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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