Mountain Home Health And Rehab - Hendersonville Nursing Home
General Information
UPDATEFederal Provider Number
345285
Provider Name
MOUNTAIN HOME HEALTH AND REHAB
Provider Address
200 HERITAGE DRIVE
HENDERSONVILLE, NC 28739
HENDERSONVILLE, NC 28739
Provider Phone Number
(828) 693-5849
Provider SSA County
440
Provider County Name
Henderson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEALTH TRUST LLC
Date First Approved to Provide Medicare and Medicaid services
1988-06-30
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.80000
Reported LPN Staffing Hours per Resident per Day
0.89115
Reported RN Staffing Hours per Resident per Day
0.51814
Reported Licensed Staffing Hours per Resident per Day
1.40929
Reported Total Nurse Staffing Hours per Resident per Day
3.20929
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04425
Expected CNA Staffing Hours per Resident per Day
2.70355
Expected LPN Staffing Hours per Resident per Day
0.64606
Expected RN Staffing Hours per Resident per Day
0.96343
Expected Total Nurse Staffing Hours per Resident per Day
4.31303
Adjusted CNA Staffing Hours per Resident per Day
1.63365
Adjusted LPN Staffing Hours per Resident per Day
1.14487
Adjusted RN Staffing Hours per Resident per Day
0.40185
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99936
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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