Sheridan Manor - Sheridan Nursing Home
General Information
UPDATEFederal Provider Number
535026
Provider Name
SHERIDAN MANOR
Provider Address
1851 BIG HORN AVE
SHERIDAN, WY 82801
SHERIDAN, WY 82801
Provider Phone Number
(307) 674-4416
Provider SSA County
160
Provider County Name
Sheridan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC SHERIDAN OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1978-06-01
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.82470
Reported LPN Staffing Hours per Resident per Day
0.41205
Reported RN Staffing Hours per Resident per Day
0.99036
Reported Licensed Staffing Hours per Resident per Day
1.40241
Reported Total Nurse Staffing Hours per Resident per Day
3.22711
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10783
Expected CNA Staffing Hours per Resident per Day
2.21972
Expected LPN Staffing Hours per Resident per Day
0.62384
Expected RN Staffing Hours per Resident per Day
0.98254
Expected Total Nurse Staffing Hours per Resident per Day
3.82610
Adjusted CNA Staffing Hours per Resident per Day
2.01704
Adjusted LPN Staffing Hours per Resident per Day
0.54822
Adjusted RN Staffing Hours per Resident per Day
0.75314
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39984
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
0
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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