Mary Goss Nursing Home - Monroe Nursing Home
General Information
UPDATEFederal Provider Number
195596
Provider Name
MARY GOSS NURSING HOME
Provider Address
3300 WHITE STREET
MONROE, LA 71203
MONROE, LA 71203
Provider Phone Number
3183239013
Provider SSA County
360
Provider County Name
Ouachita
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARY GOSS NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
2003-10-01
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.73519
Reported LPN Staffing Hours per Resident per Day
0.78981
Reported RN Staffing Hours per Resident per Day
0.22778
Reported Licensed Staffing Hours per Resident per Day
1.01759
Reported Total Nurse Staffing Hours per Resident per Day
3.75278
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07963
Expected CNA Staffing Hours per Resident per Day
2.17966
Expected LPN Staffing Hours per Resident per Day
0.56687
Expected RN Staffing Hours per Resident per Day
0.86027
Expected Total Nurse Staffing Hours per Resident per Day
3.60680
Adjusted CNA Staffing Hours per Resident per Day
3.07907
Adjusted LPN Staffing Hours per Resident per Day
1.15643
Adjusted RN Staffing Hours per Resident per Day
0.19784
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19405
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-11-06
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-31
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
34.66700
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
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Landmark Nursing & Rehab Ctr
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WEST MONROE LA 71291 | 5 miles away
Guest House Nursing And Rehabilitation
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Northeast La War Veterans Home
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