Louisiana Nursing Homes >> Shreveport Nursing Homes >> Southern Hills Healthcare And Rehabilitation I

Southern Hills Healthcare And Rehabilitation I - Shreveport Nursing Home

General Information

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Federal Provider Number
195519
Provider Name
SOUTHERN HILLS HEALTHCARE AND REHABILITATION I
Provider Address
9105 BAIRD ROAD
SHREVEPORT, LA 71129
Provider Phone Number
(318) 688-6691
Provider SSA County
80
Provider County Name
Caddo
Provider Website
Provider Description
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
28
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
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