Stonegate Villa Health And Rehabilitation, Llc - Crossett Nursing Home
General Information
UPDATEFederal Provider Number
45437
Provider Name
STONEGATE VILLA HEALTH AND REHABILITATION, LLC
Provider Address
118 JERRY SELBY DRIVE
CROSSETT, AR 71635
CROSSETT, AR 71635
Provider Phone Number
(870) 364-1534
Provider SSA County
10
Provider County Name
Ashley
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STONEGATE VILLA HEALTH AND REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
2010-12-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.24632
Reported LPN Staffing Hours per Resident per Day
0.98750
Reported RN Staffing Hours per Resident per Day
0.48971
Reported Licensed Staffing Hours per Resident per Day
1.47721
Reported Total Nurse Staffing Hours per Resident per Day
3.72353
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04191
Expected CNA Staffing Hours per Resident per Day
2.32591
Expected LPN Staffing Hours per Resident per Day
0.61730
Expected RN Staffing Hours per Resident per Day
0.95680
Expected Total Nurse Staffing Hours per Resident per Day
3.90001
Adjusted CNA Staffing Hours per Resident per Day
2.36974
Adjusted LPN Staffing Hours per Resident per Day
1.32776
Adjusted RN Staffing Hours per Resident per Day
0.38243
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84850
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-09-26
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
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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