Prairie Grove Health And Rehabilitation, Llc - Prairie Grove Nursing Home

General Information

UPDATE
Federal Provider Number
45409
Provider Name
PRAIRIE GROVE HEALTH AND REHABILITATION, LLC
Provider Address
621 SOUTH MOCK STREET
PRAIRIE GROVE, AR 72753
Provider Phone Number
(479) 846-2169
Provider SSA County
710
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRAIRIE GROVE HEALTH AND REHABILITATION
Date First Approved to Provide Medicare and Medicaid services
2006-01-11
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.67340
Reported LPN Staffing Hours per Resident per Day
1.15638
Reported RN Staffing Hours per Resident per Day
0.54574
Reported Licensed Staffing Hours per Resident per Day
1.70213
Reported Total Nurse Staffing Hours per Resident per Day
4.37552
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06809
Expected CNA Staffing Hours per Resident per Day
2.21448
Expected LPN Staffing Hours per Resident per Day
0.59696
Expected RN Staffing Hours per Resident per Day
0.94331
Expected Total Nurse Staffing Hours per Resident per Day
3.75475
Adjusted CNA Staffing Hours per Resident per Day
2.96219
Adjusted LPN Staffing Hours per Resident per Day
1.60780
Adjusted RN Staffing Hours per Resident per Day
0.43228
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69732
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-20
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
32
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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