Montana Veterans Home N H - Columbia Falls Nursing Home

General Information

UPDATE
Federal Provider Number
275100
Provider Name
MONTANA VETERANS HOME N H
Provider Address
400 VETERANS DR
COLUMBIA FALLS, MT 59912
Provider Phone Number
4068923256
Provider SSA County
140
Provider County Name
Flathead
Ownership Type
Government - State
Number of Certified Beds
105
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STATE OF MONTANA
Date First Approved to Provide Medicare and Medicaid services
1982-01-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.54608
Reported LPN Staffing Hours per Resident per Day
0.43137
Reported RN Staffing Hours per Resident per Day
0.82843
Reported Licensed Staffing Hours per Resident per Day
1.25980
Reported Total Nurse Staffing Hours per Resident per Day
3.80588
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07157
Expected CNA Staffing Hours per Resident per Day
2.15206
Expected LPN Staffing Hours per Resident per Day
0.57085
Expected RN Staffing Hours per Resident per Day
0.84232
Expected Total Nurse Staffing Hours per Resident per Day
3.56524
Adjusted CNA Staffing Hours per Resident per Day
2.90294
Adjusted LPN Staffing Hours per Resident per Day
0.62720
Adjusted RN Staffing Hours per Resident per Day
0.73488
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30297
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
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
16
Cycle 2 Standard Health Survey Date
2013-08-15
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
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
28
Total Weighted Health Survey Score
36.00000
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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