Salem Place Nursing And Rehabilitation Center, Inc - Conway Nursing Home
General Information
UPDATEFederal Provider Number
45183
Provider Name
SALEM PLACE NURSING AND REHABILITATION CENTER, INC
Provider Address
2401 CHRISTINA LANE
CONWAY, AR 72032
CONWAY, AR 72032
Provider Phone Number
(501) 327-4421
Provider SSA County
220
Provider County Name
Faulkner
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SALEM PLACE NURSING AND REHABILITATION CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1991-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.43411
Reported LPN Staffing Hours per Resident per Day
1.15654
Reported RN Staffing Hours per Resident per Day
0.89720
Reported Licensed Staffing Hours per Resident per Day
2.05374
Reported Total Nurse Staffing Hours per Resident per Day
4.48785
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10701
Expected CNA Staffing Hours per Resident per Day
2.45953
Expected LPN Staffing Hours per Resident per Day
0.62771
Expected RN Staffing Hours per Resident per Day
1.04061
Expected Total Nurse Staffing Hours per Resident per Day
4.12785
Adjusted CNA Staffing Hours per Resident per Day
2.42834
Adjusted LPN Staffing Hours per Resident per Day
1.52925
Adjusted RN Staffing Hours per Resident per Day
0.64422
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38244
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
4500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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