Southfork River Therapy And Living - Salem Nursing Home

General Information

UPDATE
Federal Provider Number
45248
Provider Name
SOUTHFORK RIVER THERAPY AND LIVING
Provider Address
624 HWY 62/412 WEST
SALEM, AR 72576
Provider Phone Number
8708953817
Provider SSA County
240
Provider County Name
Fulton
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SLNC, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
3.24722
Reported LPN Staffing Hours per Resident per Day
1.04074
Reported RN Staffing Hours per Resident per Day
0.59537
Reported Licensed Staffing Hours per Resident per Day
1.63611
Reported Total Nurse Staffing Hours per Resident per Day
4.88333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01296
Expected CNA Staffing Hours per Resident per Day
2.31441
Expected LPN Staffing Hours per Resident per Day
0.63941
Expected RN Staffing Hours per Resident per Day
0.84922
Expected Total Nurse Staffing Hours per Resident per Day
3.80304
Adjusted CNA Staffing Hours per Resident per Day
3.44265
Adjusted LPN Staffing Hours per Resident per Day
1.35096
Adjusted RN Staffing Hours per Resident per Day
0.52385
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17592
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
38
Cycle 1 Total Health Score
114
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
20
Cycle 2 Standard Health Survey Date
2013-05-03
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
25
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
232
Cycle 3 Standard Health Survey Date
2012-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
232
Total Weighted Health Survey Score
102.33300
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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