Montana Mental Health Nursing Home - Lewistown Nursing Home
General Information
UPDATEFederal Provider Number
27A052
Provider Name
MONTANA MENTAL HEALTH NURSING HOME
Provider Address
800 CASINO CREEK DR
LEWISTOWN, MT 59457
LEWISTOWN, MT 59457
Provider Phone Number
4065387451
Provider SSA County
130
Provider County Name
Fergus
Ownership Type
Government - State
Number of Certified Beds
100
Number of Residents in Certified Beds
84
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
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
3.75357
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
1.42024
Reported Licensed Staffing Hours per Resident per Day
1.42024
Reported Total Nurse Staffing Hours per Resident per Day
5.17381
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.08714
Expected LPN Staffing Hours per Resident per Day
0.50890
Expected RN Staffing Hours per Resident per Day
0.64524
Expected Total Nurse Staffing Hours per Resident per Day
3.24128
Adjusted CNA Staffing Hours per Resident per Day
4.41280
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.64467
Adjusted Total Nurse Staffing Hours per Resident per Day
6.43422
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
80
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-02-28
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
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
50.66700
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
Valle Vista Healthcare Community
402 Summit Ave |
LEWISTOWN MT 59457 | 0.5 mile away
Central Montana Nursing & Rehabilitation Center
408 Wendell Ave |
LEWISTOWN MT 59457 | 0.8 mile away
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