Southwest Healthcare Servs - Bowman Nursing Home

General Information

UPDATE
Federal Provider Number
355054
Provider Name
SOUTHWEST HEALTHCARE SERVS
Provider Address
802 2ND ST NW
BOWMAN, ND 58623
Provider Phone Number
7015233214
Provider SSA County
50
Provider County Name
Bowman
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SOUTHWEST HEALTHCARE SERVICES
Date First Approved to Provide Medicare and Medicaid services
1978-06-30
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
3.98333
Reported LPN Staffing Hours per Resident per Day
0.88194
Reported RN Staffing Hours per Resident per Day
1.10833
Reported Licensed Staffing Hours per Resident per Day
1.99028
Reported Total Nurse Staffing Hours per Resident per Day
5.97360
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01944
Expected CNA Staffing Hours per Resident per Day
2.35869
Expected LPN Staffing Hours per Resident per Day
0.61630
Expected RN Staffing Hours per Resident per Day
0.92462
Expected Total Nurse Staffing Hours per Resident per Day
3.89961
Adjusted CNA Staffing Hours per Resident per Day
4.14378
Adjusted LPN Staffing Hours per Resident per Day
1.18775
Adjusted RN Staffing Hours per Resident per Day
0.89566
Adjusted Total Nurse Staffing Hours per Resident per Day
6.17472
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-11-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
12
Cycle 2 Standard Health Survey Date
2013-11-14
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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