Pilgrim Manor Guest Care Center, Llc - Bossier City Nursing Home
General Information
UPDATEFederal Provider Number
195594
Provider Name
PILGRIM MANOR GUEST CARE CENTER, LLC
Provider Address
1524 DOCTORS DRIVE
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
Provider Phone Number
(318) 742-1623
Provider SSA County
70
Provider County Name
Bossier
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
153
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PILGRIM MANOR GUEST CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01905
Reported LPN Staffing Hours per Resident per Day
0.71327
Reported RN Staffing Hours per Resident per Day
0.23061
Reported Licensed Staffing Hours per Resident per Day
0.94388
Reported Total Nurse Staffing Hours per Resident per Day
2.96293
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05850
Expected CNA Staffing Hours per Resident per Day
2.52219
Expected LPN Staffing Hours per Resident per Day
0.70637
Expected RN Staffing Hours per Resident per Day
1.33389
Expected Total Nurse Staffing Hours per Resident per Day
4.56245
Adjusted CNA Staffing Hours per Resident per Day
1.96422
Adjusted LPN Staffing Hours per Resident per Day
0.83811
Adjusted RN Staffing Hours per Resident per Day
0.12918
Adjusted Total Nurse Staffing Hours per Resident per Day
2.61773
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.00000
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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