Haven Nursing Center - Columbia Nursing Home
General Information
UPDATEFederal Provider Number
195265
Provider Name
HAVEN NURSING CENTER
Provider Address
7726 US HWY. 165
COLUMBIA, LA 71418
COLUMBIA, LA 71418
Provider Phone Number
3186499800
Provider SSA County
100
Provider County Name
Caldwell
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAVEN NURSING CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1991-03-22
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
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.89306
Reported LPN Staffing Hours per Resident per Day
1.25903
Reported RN Staffing Hours per Resident per Day
0.41250
Reported Licensed Staffing Hours per Resident per Day
1.67153
Reported Total Nurse Staffing Hours per Resident per Day
4.56459
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11597
Expected CNA Staffing Hours per Resident per Day
2.26443
Expected LPN Staffing Hours per Resident per Day
0.60934
Expected RN Staffing Hours per Resident per Day
1.06718
Expected Total Nurse Staffing Hours per Resident per Day
3.94095
Adjusted CNA Staffing Hours per Resident per Day
3.13487
Adjusted LPN Staffing Hours per Resident per Day
1.71496
Adjusted RN Staffing Hours per Resident per Day
0.28882
Adjusted Total Nurse Staffing Hours per Resident per Day
4.66877
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
2013-07-18
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
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
24.66700
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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