Hiram Shaddox Geriatric Health And Rehab - Mountain Home Nursing Home
General Information
UPDATEFederal Provider Number
45406
Provider Name
HIRAM SHADDOX GERIATRIC HEALTH AND REHAB
Provider Address
620 HOSPITAL DRIVE
MOUNTAIN HOME, AR 72653
MOUNTAIN HOME, AR 72653
Provider Phone Number
(870) 425-6203
Provider SSA County
20
Provider County Name
Baxter
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MHHNC, INC.
Date First Approved to Provide Medicare and Medicaid services
2005-07-22
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.34906
Reported LPN Staffing Hours per Resident per Day
1.51226
Reported RN Staffing Hours per Resident per Day
0.66698
Reported Licensed Staffing Hours per Resident per Day
2.17925
Reported Total Nurse Staffing Hours per Resident per Day
4.52830
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14811
Expected CNA Staffing Hours per Resident per Day
2.41182
Expected LPN Staffing Hours per Resident per Day
0.63139
Expected RN Staffing Hours per Resident per Day
1.11344
Expected Total Nurse Staffing Hours per Resident per Day
4.15665
Adjusted CNA Staffing Hours per Resident per Day
2.38985
Adjusted LPN Staffing Hours per Resident per Day
1.98795
Adjusted RN Staffing Hours per Resident per Day
0.44759
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39130
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
79
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
79
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
52.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
10140
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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