Missouri River Medical Center N H - Fort Benton Nursing Home

General Information

UPDATE
Federal Provider Number
275062
Provider Name
MISSOURI RIVER MEDICAL CENTER N H
Provider Address
1501 SAINT CHARLES ST
FORT BENTON, MT 59442
Provider Phone Number
4066223331
Provider SSA County
70
Provider County Name
Chouteau
Ownership Type
Government - Hospital district
Number of Certified Beds
45
Number of Residents in Certified Beds
23
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CHOUTEAU COUNTY DISTRICT HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1977-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
4.14565
Reported LPN Staffing Hours per Resident per Day
0.79130
Reported RN Staffing Hours per Resident per Day
1.78261
Reported Licensed Staffing Hours per Resident per Day
2.57391
Reported Total Nurse Staffing Hours per Resident per Day
6.71956
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21739
Expected CNA Staffing Hours per Resident per Day
2.25844
Expected LPN Staffing Hours per Resident per Day
0.57046
Expected RN Staffing Hours per Resident per Day
0.85915
Expected Total Nurse Staffing Hours per Resident per Day
3.68805
Adjusted CNA Staffing Hours per Resident per Day
4.50407
Adjusted LPN Staffing Hours per Resident per Day
1.15132
Adjusted RN Staffing Hours per Resident per Day
1.55033
Adjusted Total Nurse Staffing Hours per Resident per Day
7.34423
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
28
Cycle 2 Standard Health Survey Date
2014-01-30
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
20
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
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
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