St Francisville Country Manor, Llc - Saint Francisville Nursing Home
General Information
UPDATEFederal Provider Number
195508
Provider Name
ST FRANCISVILLE COUNTRY MANOR, LLC
Provider Address
15243 HWY 10 EAST
SAINT FRANCISVILLE, LA 70775
SAINT FRANCISVILLE, LA 70775
Provider Phone Number
2256353346
Provider SSA County
620
Provider County Name
West Feliciana
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST FRANCISVILLE COUNTRY MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
2001-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.09327
Reported LPN Staffing Hours per Resident per Day
0.72452
Reported RN Staffing Hours per Resident per Day
0.53990
Reported Licensed Staffing Hours per Resident per Day
1.26442
Reported Total Nurse Staffing Hours per Resident per Day
3.35769
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05481
Expected CNA Staffing Hours per Resident per Day
2.02563
Expected LPN Staffing Hours per Resident per Day
0.57169
Expected RN Staffing Hours per Resident per Day
0.82546
Expected Total Nurse Staffing Hours per Resident per Day
3.42278
Adjusted CNA Staffing Hours per Resident per Day
2.53563
Adjusted LPN Staffing Hours per Resident per Day
1.05189
Adjusted RN Staffing Hours per Resident per Day
0.48871
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95424
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-02-28
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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