Morning Star Care Center - Fort Washakie Nursing Home
General Information
UPDATEFederal Provider Number
535050
Provider Name
MORNING STAR CARE CENTER
Provider Address
4 NORTH FORK ROAD
FORT WASHAKIE, WY 82514
FORT WASHAKIE, WY 82514
Provider Phone Number
(307) 332-6902
Provider SSA County
60
Provider County Name
Fremont
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
45
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MORNING STAR CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1994-05-15
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
4
QM Rating Footnote
Staffing Rating
3
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
1.22778
Reported LPN Staffing Hours per Resident per Day
0.30694
Reported RN Staffing Hours per Resident per Day
0.91111
Reported Licensed Staffing Hours per Resident per Day
1.21806
Reported Total Nurse Staffing Hours per Resident per Day
2.44583
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.08171
Expected LPN Staffing Hours per Resident per Day
0.59188
Expected RN Staffing Hours per Resident per Day
0.83448
Expected Total Nurse Staffing Hours per Resident per Day
3.50807
Adjusted CNA Staffing Hours per Resident per Day
1.44718
Adjusted LPN Staffing Hours per Resident per Day
0.43043
Adjusted RN Staffing Hours per Resident per Day
0.81581
Adjusted Total Nurse Staffing Hours per Resident per Day
2.81035
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
24
Cycle 3 Number of Standard Health Deficiencies
24
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
120.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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