Mountain View Health & Rehab - Carson City Nursing Home

General Information

UPDATE
Federal Provider Number
295079
Provider Name
MOUNTAIN VIEW HEALTH & REHAB
Provider Address
201 KOONTZ LANE
CARSON CITY, NV 89701
Provider Phone Number
(775) 883-3622
Provider SSA County
120
Provider County Name
Carson City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
146
Number of Residents in Certified Beds
134
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN AT MOUNTAIN VIEW, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2001-08-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.77239
Reported LPN Staffing Hours per Resident per Day
0.41791
Reported RN Staffing Hours per Resident per Day
0.60261
Reported Licensed Staffing Hours per Resident per Day
1.02052
Reported Total Nurse Staffing Hours per Resident per Day
2.79291
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02873
Expected CNA Staffing Hours per Resident per Day
2.50951
Expected LPN Staffing Hours per Resident per Day
0.59456
Expected RN Staffing Hours per Resident per Day
0.79604
Expected Total Nurse Staffing Hours per Resident per Day
3.90011
Adjusted CNA Staffing Hours per Resident per Day
1.73297
Adjusted LPN Staffing Hours per Resident per Day
0.58340
Adjusted RN Staffing Hours per Resident per Day
0.56564
Adjusted Total Nurse Staffing Hours per Resident per Day
2.88657
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
32
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
26
Cycle 2 Number of Standard Health Deficiencies
26
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
280
Cycle 2 Standard Health Survey Date
2014-02-10
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
280
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
140
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
140
Total Weighted Health Survey Score
132.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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