Heritage Manor Of Bossier - Bossier City Nursing Home

General Information

UPDATE
Federal Provider Number
195323
Provider Name
HERITAGE MANOR OF BOSSIER
Provider Address
2575 AIRLINE DRIVE
BOSSIER CITY, LA 71111
Provider Phone Number
3187467466
Provider SSA County
70
Provider County Name
Bossier
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BOSSIER HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-03-01
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
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.90909
Reported LPN Staffing Hours per Resident per Day
0.87273
Reported RN Staffing Hours per Resident per Day
0.40273
Reported Licensed Staffing Hours per Resident per Day
1.27545
Reported Total Nurse Staffing Hours per Resident per Day
3.18455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10364
Expected CNA Staffing Hours per Resident per Day
2.32802
Expected LPN Staffing Hours per Resident per Day
0.58116
Expected RN Staffing Hours per Resident per Day
0.91564
Expected Total Nurse Staffing Hours per Resident per Day
3.82483
Adjusted CNA Staffing Hours per Resident per Day
2.01215
Adjusted LPN Staffing Hours per Resident per Day
1.24641
Adjusted RN Staffing Hours per Resident per Day
0.32864
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35613
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
32
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
2013-12-19
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
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
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
56
Total Weighted Health Survey Score
26.66700
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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