Presbyterian Village, Inc - Little Rock Nursing Home

General Information

UPDATE
Federal Provider Number
45436
Provider Name
PRESBYTERIAN VILLAGE, INC
Provider Address
500 BROOKSIDE DRIVE
LITTLE ROCK, AR 72205
Provider Phone Number
5012251615
Provider SSA County
590
Provider County Name
Pulaski
Ownership Type
Non profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN VILLAGE INC.
Date First Approved to Provide Medicare and Medicaid services
2010-12-09
Continuing Care Retirement Community
Y
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
1
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
2.75857
Reported LPN Staffing Hours per Resident per Day
1.24071
Reported RN Staffing Hours per Resident per Day
0.51857
Reported Licensed Staffing Hours per Resident per Day
1.75929
Reported Total Nurse Staffing Hours per Resident per Day
4.51785
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03071
Expected CNA Staffing Hours per Resident per Day
2.29016
Expected LPN Staffing Hours per Resident per Day
0.54147
Expected RN Staffing Hours per Resident per Day
0.85115
Expected Total Nurse Staffing Hours per Resident per Day
3.68278
Adjusted CNA Staffing Hours per Resident per Day
2.95556
Adjusted LPN Staffing Hours per Resident per Day
1.90184
Adjusted RN Staffing Hours per Resident per Day
0.45524
Adjusted Total Nurse Staffing Hours per Resident per Day
4.94491
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
230
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
115
Cycle 1 Total Health Score
345
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-09
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
191.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
18200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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