North Hills Life Care And Rehab - Fayetteville Nursing Home

General Information

UPDATE
Federal Provider Number
45398
Provider Name
NORTH HILLS LIFE CARE AND REHAB
Provider Address
27 E APPLEBY ROAD
FAYETTEVILLE, AR 72703
Provider Phone Number
(479) 444-9000
Provider SSA County
710
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHWEST HEALTH AND REHAB, INC.
Date First Approved to Provide Medicare and Medicaid services
2004-04-22
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.44667
Reported LPN Staffing Hours per Resident per Day
0.97267
Reported RN Staffing Hours per Resident per Day
0.54733
Reported Licensed Staffing Hours per Resident per Day
1.52000
Reported Total Nurse Staffing Hours per Resident per Day
3.96667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07800
Expected CNA Staffing Hours per Resident per Day
2.47817
Expected LPN Staffing Hours per Resident per Day
0.58963
Expected RN Staffing Hours per Resident per Day
0.91684
Expected Total Nurse Staffing Hours per Resident per Day
3.98465
Adjusted CNA Staffing Hours per Resident per Day
2.42251
Adjusted LPN Staffing Hours per Resident per Day
1.36919
Adjusted RN Staffing Hours per Resident per Day
0.44606
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01271
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
2015-01-30
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
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-03-21
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
107
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
107
Total Weighted Health Survey Score
24.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
4004
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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