Pine Lane Therapy And Living - Mountain Home Nursing Home

General Information

UPDATE
Federal Provider Number
45163
Provider Name
PINE LANE THERAPY AND LIVING
Provider Address
1100 PINE TREE LANE
MOUNTAIN HOME, AR 72653
Provider Phone Number
(870) 425-6316
Provider SSA County
20
Provider County Name
Baxter
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MHPNC, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.54538
Reported LPN Staffing Hours per Resident per Day
1.08000
Reported RN Staffing Hours per Resident per Day
0.47231
Reported Licensed Staffing Hours per Resident per Day
1.55231
Reported Total Nurse Staffing Hours per Resident per Day
4.09769
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00308
Expected CNA Staffing Hours per Resident per Day
2.50284
Expected LPN Staffing Hours per Resident per Day
0.65776
Expected RN Staffing Hours per Resident per Day
0.93061
Expected Total Nurse Staffing Hours per Resident per Day
4.09121
Adjusted CNA Staffing Hours per Resident per Day
2.49540
Adjusted LPN Staffing Hours per Resident per Day
1.36281
Adjusted RN Staffing Hours per Resident per Day
0.37923
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03728
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-13
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
30
Cycle 3 Total Health Score
90
Total Weighted Health Survey Score
39.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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