Mine Creek Health And Rehab, Llc - Nashville Nursing Home
General Information
UPDATEFederal Provider Number
45180
Provider Name
MINE CREEK HEALTH AND REHAB, LLC
Provider Address
1407 NORTH MAIN STREET
NASHVILLE, AR 71852
NASHVILLE, AR 71852
Provider Phone Number
(870) 845-2021
Provider SSA County
300
Provider County Name
Howard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-12-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.60000
Reported LPN Staffing Hours per Resident per Day
0.93667
Reported RN Staffing Hours per Resident per Day
0.35750
Reported Licensed Staffing Hours per Resident per Day
1.29417
Reported Total Nurse Staffing Hours per Resident per Day
3.89417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00250
Expected CNA Staffing Hours per Resident per Day
2.29718
Expected LPN Staffing Hours per Resident per Day
0.64608
Expected RN Staffing Hours per Resident per Day
0.92755
Expected Total Nurse Staffing Hours per Resident per Day
3.87082
Adjusted CNA Staffing Hours per Resident per Day
2.77715
Adjusted LPN Staffing Hours per Resident per Day
1.20331
Adjusted RN Staffing Hours per Resident per Day
0.28799
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05522
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
398
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
398
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
124
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
124
Total Weighted Health Survey Score
183.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
31168
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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