Livingston Health & Rehabilitation Center - Livingston Nursing Home
General Information
UPDATEFederal Provider Number
275047
Provider Name
LIVINGSTON HEALTH & REHABILITATION CENTER
Provider Address
510 S 14TH ST
LIVINGSTON, MT 59047
LIVINGSTON, MT 59047
Provider Phone Number
4062220672
Provider SSA County
330
Provider County Name
Park
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN AT LIVINGSTON, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1974-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00676
Reported LPN Staffing Hours per Resident per Day
0.48514
Reported RN Staffing Hours per Resident per Day
1.29189
Reported Licensed Staffing Hours per Resident per Day
1.77703
Reported Total Nurse Staffing Hours per Resident per Day
3.78379
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06216
Expected CNA Staffing Hours per Resident per Day
2.22273
Expected LPN Staffing Hours per Resident per Day
0.62259
Expected RN Staffing Hours per Resident per Day
1.01519
Expected Total Nurse Staffing Hours per Resident per Day
3.86052
Adjusted CNA Staffing Hours per Resident per Day
2.21528
Adjusted LPN Staffing Hours per Resident per Day
0.64676
Adjusted RN Staffing Hours per Resident per Day
0.95085
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95078
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
42
Cycle 2 Total Health Score
42
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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