Shiloh Nursing And Rehab, Llc - Springdale Nursing Home
General Information
UPDATEFederal Provider Number
45427
Provider Name
SHILOH NURSING AND REHAB, LLC
Provider Address
1092 WEST STULTZ ROAD
SPRINGDALE, AR 72764
SPRINGDALE, AR 72764
Provider Phone Number
(479) 750-3800
Provider SSA County
710
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHILOH NURSING AND REHAB, LLC
Date First Approved to Provide Medicare and Medicaid services
2008-04-10
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.84118
Reported LPN Staffing Hours per Resident per Day
1.07132
Reported RN Staffing Hours per Resident per Day
0.58603
Reported Licensed Staffing Hours per Resident per Day
1.65735
Reported Total Nurse Staffing Hours per Resident per Day
5.49853
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03456
Expected CNA Staffing Hours per Resident per Day
2.51788
Expected LPN Staffing Hours per Resident per Day
0.63177
Expected RN Staffing Hours per Resident per Day
1.01209
Expected Total Nurse Staffing Hours per Resident per Day
4.16174
Adjusted CNA Staffing Hours per Resident per Day
3.74327
Adjusted LPN Staffing Hours per Resident per Day
1.40747
Adjusted RN Staffing Hours per Resident per Day
0.43265
Adjusted Total Nurse Staffing Hours per Resident per Day
5.32567
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
12
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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