Heritage Square Nursing And Rehabilitation Center, - Blytheville Nursing Home

General Information

UPDATE
Federal Provider Number
45366
Provider Name
HERITAGE SQUARE NURSING AND REHABILITATION CENTER,
Provider Address
710 NO RUDDLE
BLYTHEVILLE, AR 72316
Provider Phone Number
8707633654
Provider SSA County
460
Provider County Name
Mississippi
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE SQUARE NURSING AND REHABILITATION CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2001-04-19
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.58806
Reported LPN Staffing Hours per Resident per Day
1.00746
Reported RN Staffing Hours per Resident per Day
0.43806
Reported Licensed Staffing Hours per Resident per Day
1.44552
Reported Total Nurse Staffing Hours per Resident per Day
4.03358
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02015
Expected CNA Staffing Hours per Resident per Day
2.36906
Expected LPN Staffing Hours per Resident per Day
0.61045
Expected RN Staffing Hours per Resident per Day
0.81914
Expected Total Nurse Staffing Hours per Resident per Day
3.79865
Adjusted CNA Staffing Hours per Resident per Day
2.68052
Adjusted LPN Staffing Hours per Resident per Day
1.36980
Adjusted RN Staffing Hours per Resident per Day
0.39959
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28019
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
2013-11-08
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
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
377
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
189
Cycle 3 Total Health Score
566
Total Weighted Health Survey Score
97.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
5000
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01

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