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Hillside Health Care Center - Missoula Nursing Home

General Information

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Federal Provider Number
275027
Provider Name
HILLSIDE HEALTH CARE CENTER
Provider Address
4720 23RD AVE
MISSOULA, MT 59803
Provider Phone Number
(406) 251-5100
Provider SSA County
310
Provider County Name
Missoula
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
95
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLSIDE HEALTH CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-03-02
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.45833
Reported LPN Staffing Hours per Resident per Day
0.28333
Reported RN Staffing Hours per Resident per Day
0.71000
Reported Licensed Staffing Hours per Resident per Day
0.99333
Reported Total Nurse Staffing Hours per Resident per Day
3.45166
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10750
Expected CNA Staffing Hours per Resident per Day
2.37206
Expected LPN Staffing Hours per Resident per Day
0.63806
Expected RN Staffing Hours per Resident per Day
0.98057
Expected Total Nurse Staffing Hours per Resident per Day
3.99069
Adjusted CNA Staffing Hours per Resident per Day
2.54294
Adjusted LPN Staffing Hours per Resident per Day
0.36856
Adjusted RN Staffing Hours per Resident per Day
0.54102
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48644
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-07-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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