Heritage Manor South - Shreveport Nursing Home
General Information
UPDATEFederal Provider Number
195408
Provider Name
HERITAGE MANOR SOUTH
Provider Address
9712 MANSFIELD ROAD
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
Provider Phone Number
3186872080
Provider SSA County
80
Provider County Name
Caddo
Ownership Type
For profit - Corporation
Number of Certified Beds
145
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY CARE CENTER SHREVEPORT SOUTH, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
1.88398
Reported LPN Staffing Hours per Resident per Day
0.74727
Reported RN Staffing Hours per Resident per Day
0.42188
Reported Licensed Staffing Hours per Resident per Day
1.16914
Reported Total Nurse Staffing Hours per Resident per Day
3.05313
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04453
Expected CNA Staffing Hours per Resident per Day
2.54745
Expected LPN Staffing Hours per Resident per Day
0.63134
Expected RN Staffing Hours per Resident per Day
0.92662
Expected Total Nurse Staffing Hours per Resident per Day
4.10541
Adjusted CNA Staffing Hours per Resident per Day
1.81465
Adjusted LPN Staffing Hours per Resident per Day
0.98241
Adjusted RN Staffing Hours per Resident per Day
0.34019
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99772
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-04-04
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
11
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
323
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
323
Total Weighted Health Survey Score
55.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
3
Total Amount of Fines in Dollars
6204
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Bradford Guest Care, Llc (the)
3050 Baird Road |
SHREVEPORT LA 71118 | 0.8 mile away
Guest House (the)
9225 Normandie Drive |
SHREVEPORT LA 71118 | 1.4 miles away
Southern Hills Healthcare And Rehabilitation I
9105 Baird Road |
SHREVEPORT LA 71129 | 2.1 miles away
Garden Park Nursing & Rehab Ctr, Llc
9111 Linwood Avenue |
SHREVEPORT LA 71106 | 4.3 miles away
Heritage Manor West
7060 Cottonwood Blvd |
SHREVEPORT LA 71129 | 4.4 miles away
Guest Care At Springlake, Llc (the)
8622 Line Avenue |
SHREVEPORT LA 71106 | 5.5 miles away
Booker T. Washington Guest Care Center
7605 Line Avenue |
SHREVEPORT LA 71106 | 5.7 miles away
Village Health Care At The Glen
403 E. Flournoy Lucas |
SHREVEPORT LA 71115 | 5.9 miles away
Pierremont Healthcare Center
725 Mitchell Lane |
SHREVEPORT LA 71106 | 6.5 miles away
Live Oak
600 East Flournoy Lucas Road |
SHREVEPORT LA 71115 | 6.9 miles away
Roseview Nursing And Rehabilitation Center
3405 Mansfield Road |
SHREVEPORT LA 71103 | 7.2 miles away
Shreveport Manor, Llc
3302 Mansfield Road |
SHREVEPORT LA 71103 | 7.2 miles away
Willis-knighton Extended Care Center
2550 Kings Highway |
SHREVEPORT LA 71103 | 7.3 miles away
Heritage Manor Of Stratmore Nursing & Rehab Ctr
530 Stratmore Drive |
SHREVEPORT LA 71115 | 7.3 miles away
Claiborne Healthcare Center
1536 Claiborne Avenue |
SHREVEPORT LA 71103 | 7.4 miles away
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