Philip Nursing Home - Philip Nursing Home
General Information
UPDATEFederal Provider Number
43A038
Provider Name
PHILIP NURSING HOME
Provider Address
503 WEST PINE POST OFFICE BOX 790
PHILIP, SD 57567
PHILIP, SD 57567
Provider Phone Number
6058592583
Provider SSA County
270
Provider County Name
Haakon
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
30
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1978-04-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.13333
Reported LPN Staffing Hours per Resident per Day
0.38167
Reported RN Staffing Hours per Resident per Day
0.66667
Reported Licensed Staffing Hours per Resident per Day
1.04833
Reported Total Nurse Staffing Hours per Resident per Day
3.18167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.30597
Expected LPN Staffing Hours per Resident per Day
0.59392
Expected RN Staffing Hours per Resident per Day
0.84529
Expected Total Nurse Staffing Hours per Resident per Day
3.74518
Adjusted CNA Staffing Hours per Resident per Day
2.27000
Adjusted LPN Staffing Hours per Resident per Day
0.53338
Adjusted RN Staffing Hours per Resident per Day
0.58931
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42440
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
56
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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