Marias Care Center - Shelby Nursing Home
General Information
UPDATEFederal Provider Number
275061
Provider Name
MARIAS CARE CENTER
Provider Address
640 PARK DR
SHELBY, MT 59474
SHELBY, MT 59474
Provider Phone Number
4064343200
Provider SSA County
500
Provider County Name
Toole
Ownership Type
Government - City/county
Number of Certified Beds
63
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
TOOLE COUNTY
Date First Approved to Provide Medicare and Medicaid services
1977-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.85741
Reported LPN Staffing Hours per Resident per Day
0.77778
Reported RN Staffing Hours per Resident per Day
0.95185
Reported Licensed Staffing Hours per Resident per Day
1.72963
Reported Total Nurse Staffing Hours per Resident per Day
4.58704
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.27975
Expected LPN Staffing Hours per Resident per Day
0.57531
Expected RN Staffing Hours per Resident per Day
0.79191
Expected Total Nurse Staffing Hours per Resident per Day
3.64698
Adjusted CNA Staffing Hours per Resident per Day
3.07543
Adjusted LPN Staffing Hours per Resident per Day
1.12211
Adjusted RN Staffing Hours per Resident per Day
0.89811
Adjusted Total Nurse Staffing Hours per Resident per Day
5.06993
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-01
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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