Madison Valley Manor - Ennis Nursing Home
General Information
UPDATEFederal Provider Number
275136
Provider Name
MADISON VALLEY MANOR
Provider Address
211 N MAIN ST
ENNIS, MT 59729
ENNIS, MT 59729
Provider Phone Number
4066827271
Provider SSA County
280
Provider County Name
Madison
Ownership Type
Government - County
Number of Certified Beds
40
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF MADISON BOOKKEEPING DEPARTMENT
Date First Approved to Provide Medicare and Medicaid services
1991-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.94583
Reported LPN Staffing Hours per Resident per Day
0.50000
Reported RN Staffing Hours per Resident per Day
0.97083
Reported Licensed Staffing Hours per Resident per Day
1.47083
Reported Total Nurse Staffing Hours per Resident per Day
4.41666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02917
Expected CNA Staffing Hours per Resident per Day
2.19930
Expected LPN Staffing Hours per Resident per Day
0.55945
Expected RN Staffing Hours per Resident per Day
0.79342
Expected Total Nurse Staffing Hours per Resident per Day
3.55217
Adjusted CNA Staffing Hours per Resident per Day
3.28659
Adjusted LPN Staffing Hours per Resident per Day
0.74180
Adjusted RN Staffing Hours per Resident per Day
0.91427
Adjusted Total Nurse Staffing Hours per Resident per Day
5.01190
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
16
Cycle 2 Standard Health Survey Date
2013-09-12
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
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
Nursiong Homes Nearby
Tobacco Root Mountains Care Center
326 Madison St |
SHERIDAN MT 59749 | 23.7 miles away
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