Jefferson Manor Nursing And Re - Baton Rouge Nursing Home
General Information
UPDATEFederal Provider Number
195471
Provider Name
JEFFERSON MANOR NURSING AND RE
Provider Address
9919 JEFFERSON HWY.
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
Provider Phone Number
(225) 293-1434
Provider SSA County
160
Provider County Name
E. Baton Rouge
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEFFERSON MANOR NURSING & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
1.88364
Reported LPN Staffing Hours per Resident per Day
0.78182
Reported RN Staffing Hours per Resident per Day
0.44136
Reported Licensed Staffing Hours per Resident per Day
1.22318
Reported Total Nurse Staffing Hours per Resident per Day
3.10682
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05182
Expected CNA Staffing Hours per Resident per Day
2.36527
Expected LPN Staffing Hours per Resident per Day
0.64802
Expected RN Staffing Hours per Resident per Day
1.03918
Expected Total Nurse Staffing Hours per Resident per Day
4.05248
Adjusted CNA Staffing Hours per Resident per Day
1.95406
Adjusted LPN Staffing Hours per Resident per Day
1.00137
Adjusted RN Staffing Hours per Resident per Day
0.31735
Adjusted Total Nurse Staffing Hours per Resident per Day
3.09028
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
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
16
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
29.33300
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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