Ormsby Post Acute Rehab - Carson City Nursing Home
General Information
UPDATEFederal Provider Number
295067
Provider Name
ORMSBY POST ACUTE REHAB
Provider Address
3050 N ORMSBY
CARSON CITY, NV 89703
CARSON CITY, NV 89703
Provider Phone Number
(775) 841-4646
Provider SSA County
120
Provider County Name
Carson City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN AT CARSON CITY LLC
Date First Approved to Provide Medicare and Medicaid services
1999-03-25
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.11154
Reported LPN Staffing Hours per Resident per Day
0.81239
Reported RN Staffing Hours per Resident per Day
0.63376
Reported Licensed Staffing Hours per Resident per Day
1.44615
Reported Total Nurse Staffing Hours per Resident per Day
3.55769
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21966
Expected CNA Staffing Hours per Resident per Day
2.30359
Expected LPN Staffing Hours per Resident per Day
0.64063
Expected RN Staffing Hours per Resident per Day
1.12814
Expected Total Nurse Staffing Hours per Resident per Day
4.07236
Adjusted CNA Staffing Hours per Resident per Day
2.24913
Adjusted LPN Staffing Hours per Resident per Day
1.05253
Adjusted RN Staffing Hours per Resident per Day
0.41976
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52147
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
104
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
158
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
158
Total Weighted Health Survey Score
75.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
15340
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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