Springbrook Health & Rehab Center - Hazen Nursing Home

General Information

UPDATE
Federal Provider Number
45228
Provider Name
SPRINGBROOK HEALTH & REHAB CENTER
Provider Address
92 MAPLE STREET
HAZEN, AR 72064
Provider Phone Number
(870) 255-4323
Provider SSA County
580
Provider County Name
Prairie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRING BROOK HEALTH & REHAB CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.66250
Reported LPN Staffing Hours per Resident per Day
0.79479
Reported RN Staffing Hours per Resident per Day
0.41042
Reported Licensed Staffing Hours per Resident per Day
1.20521
Reported Total Nurse Staffing Hours per Resident per Day
3.86771
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.37541
Expected LPN Staffing Hours per Resident per Day
0.61064
Expected RN Staffing Hours per Resident per Day
0.85792
Expected Total Nurse Staffing Hours per Resident per Day
3.84397
Adjusted CNA Staffing Hours per Resident per Day
2.75026
Adjusted LPN Staffing Hours per Resident per Day
1.08030
Adjusted RN Staffing Hours per Resident per Day
0.35745
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05579
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
2015-04-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-07-11
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
16
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-10-24
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
28
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
68.00000
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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