Teton Medical Center N H - Choteau Nursing Home
General Information
UPDATEFederal Provider Number
275085
Provider Name
TETON MEDICAL CENTER N H
Provider Address
915 4TH ST NW
CHOTEAU, MT 59422
CHOTEAU, MT 59422
Provider Phone Number
(406) 466-5763
Provider SSA County
490
Provider County Name
Teton
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
36
Number of Residents in Certified Beds
18
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
TETON MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1977-10-03
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
2.48889
Reported LPN Staffing Hours per Resident per Day
0.66111
Reported RN Staffing Hours per Resident per Day
0.57500
Reported Licensed Staffing Hours per Resident per Day
1.23611
Reported Total Nurse Staffing Hours per Resident per Day
3.72500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00278
Expected CNA Staffing Hours per Resident per Day
2.42136
Expected LPN Staffing Hours per Resident per Day
0.61258
Expected RN Staffing Hours per Resident per Day
0.88583
Expected Total Nurse Staffing Hours per Resident per Day
3.91977
Adjusted CNA Staffing Hours per Resident per Day
2.52213
Adjusted LPN Staffing Hours per Resident per Day
0.89576
Adjusted RN Staffing Hours per Resident per Day
0.48501
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83061
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
44
Cycle 3 Standard Health Survey Date
2013-01-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
24.00000
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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Nursiong Homes Nearby
Teton Nursing Home
24 N Main |
CHOTEAU MT 59422 | 0.5 mile away