Southern Hills Healthcare And Rehabilitation I - Shreveport Nursing Home
General Information
UPDATEFederal Provider Number
195519
Provider Name
SOUTHERN HILLS HEALTHCARE AND REHABILITATION I
Provider Address
9105 BAIRD ROAD
SHREVEPORT, LA 71129
SHREVEPORT, LA 71129
Provider Phone Number
3186886691
Provider SSA County
80
Provider County Name
Caddo
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2001-03-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.47059
Reported LPN Staffing Hours per Resident per Day
0.75294
Reported RN Staffing Hours per Resident per Day
0.43000
Reported Licensed Staffing Hours per Resident per Day
1.18294
Reported Total Nurse Staffing Hours per Resident per Day
3.65353
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03353
Expected CNA Staffing Hours per Resident per Day
2.48975
Expected LPN Staffing Hours per Resident per Day
0.66098
Expected RN Staffing Hours per Resident per Day
1.09756
Expected Total Nurse Staffing Hours per Resident per Day
4.24830
Adjusted CNA Staffing Hours per Resident per Day
2.43482
Adjusted LPN Staffing Hours per Resident per Day
0.94547
Adjusted RN Staffing Hours per Resident per Day
0.29274
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46657
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-03-13
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
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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
Nursiong Homes Nearby
Guest House (the)
9225 Normandie Drive |
SHREVEPORT LA 71118 | 0.8 mile away
Bradford Guest Care, Llc (the)
3050 Baird Road |
SHREVEPORT LA 71118 | 1.4 miles away
Heritage Manor South
9712 Mansfield Road |
SHREVEPORT LA 71118 | 2.1 miles away
Garden Park Nursing & Rehab Ctr, Llc
9111 Linwood Avenue |
SHREVEPORT LA 71106 | 2.2 miles away
Guest Care At Springlake, Llc (the)
8622 Line Avenue |
SHREVEPORT LA 71106 | 3.4 miles away
Booker T. Washington Guest Care Center
7605 Line Avenue |
SHREVEPORT LA 71106 | 3.5 miles away
Village Health Care At The Glen
403 E. Flournoy Lucas |
SHREVEPORT LA 71115 | 4.3 miles away
Heritage Manor West
7060 Cottonwood Blvd |
SHREVEPORT LA 71129 | 4.4 miles away
Pierremont Healthcare Center
725 Mitchell Lane |
SHREVEPORT LA 71106 | 4.4 miles away
Live Oak
600 East Flournoy Lucas Road |
SHREVEPORT LA 71115 | 5.2 miles away
Roseview Nursing And Rehabilitation Center
3405 Mansfield Road |
SHREVEPORT LA 71103 | 5.3 miles away
Shreveport Manor, Llc
3302 Mansfield Road |
SHREVEPORT LA 71103 | 5.3 miles away
Willis-knighton Extended Care Center
2550 Kings Highway |
SHREVEPORT LA 71103 | 5.4 miles away
Magnolia Manor Nursing And Rehab Ctr, Llc
1411 Claiborne Avenue |
SHREVEPORT LA 71103 | 5.5 miles away
Claiborne Healthcare Center
1536 Claiborne Avenue |
SHREVEPORT LA 71103 | 5.5 miles away
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