Guest House (the) - Shreveport Nursing Home
General Information
UPDATEFederal Provider Number
195380
Provider Name
GUEST HOUSE (THE)
Provider Address
9225 NORMANDIE DRIVE
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
Provider Phone Number
3186860515
Provider SSA County
80
Provider County Name
Caddo
Ownership Type
For profit - Corporation
Number of Certified Beds
177
Number of Residents in Certified Beds
150
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE GUEST HOUSE LLC
Date First Approved to Provide Medicare and Medicaid services
1996-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
1.97000
Reported LPN Staffing Hours per Resident per Day
0.99633
Reported RN Staffing Hours per Resident per Day
0.11433
Reported Licensed Staffing Hours per Resident per Day
1.11067
Reported Total Nurse Staffing Hours per Resident per Day
3.08066
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05700
Expected CNA Staffing Hours per Resident per Day
2.53639
Expected LPN Staffing Hours per Resident per Day
0.70408
Expected RN Staffing Hours per Resident per Day
1.26228
Expected Total Nurse Staffing Hours per Resident per Day
4.50276
Adjusted CNA Staffing Hours per Resident per Day
1.90577
Adjusted LPN Staffing Hours per Resident per Day
1.17451
Adjusted RN Staffing Hours per Resident per Day
0.06768
Adjusted Total Nurse Staffing Hours per Resident per Day
2.75783
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-05-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-14
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
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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