Pondera Medical Center Ltc - Conrad Nursing Home

General Information

UPDATE
Federal Provider Number
275119
Provider Name
PONDERA MEDICAL CENTER LTC
Provider Address
805 SUNSET BLVD
CONRAD, MT 59425
Provider Phone Number
4062713211
Provider SSA County
360
Provider County Name
Pondera
Ownership Type
Non profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PONDERA MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1987-09-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
3.13300
Reported LPN Staffing Hours per Resident per Day
0.30400
Reported RN Staffing Hours per Resident per Day
0.77100
Reported Licensed Staffing Hours per Resident per Day
1.07500
Reported Total Nurse Staffing Hours per Resident per Day
4.20800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00600
Expected CNA Staffing Hours per Resident per Day
2.15699
Expected LPN Staffing Hours per Resident per Day
0.58516
Expected RN Staffing Hours per Resident per Day
0.87565
Expected Total Nurse Staffing Hours per Resident per Day
3.61781
Adjusted CNA Staffing Hours per Resident per Day
3.56396
Adjusted LPN Staffing Hours per Resident per Day
0.43119
Adjusted RN Staffing Hours per Resident per Day
0.65790
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68848
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-15
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-07-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
36.00000
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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