Village Health Care At The Glen - Shreveport Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
195533
Provider Name
VILLAGE HEALTH CARE AT THE GLEN
Provider Address
403 E. FLOURNOY LUCAS
SHREVEPORT, LA 71115
SHREVEPORT, LA 71115
Provider Phone Number
(318) 213-3500
Provider SSA County
80
Provider County Name
Caddo
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE GLEN RETIREMENT SYSTEM
Date First Approved to Provide Medicare and Medicaid services
2001-10-08
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.82647
Reported LPN Staffing Hours per Resident per Day
0.84202
Reported RN Staffing Hours per Resident per Day
0.24370
Reported Licensed Staffing Hours per Resident per Day
1.08571
Reported Total Nurse Staffing Hours per Resident per Day
3.91219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04790
Expected CNA Staffing Hours per Resident per Day
2.22930
Expected LPN Staffing Hours per Resident per Day
0.54030
Expected RN Staffing Hours per Resident per Day
0.86727
Expected Total Nurse Staffing Hours per Resident per Day
3.63687
Adjusted CNA Staffing Hours per Resident per Day
3.11098
Adjusted LPN Staffing Hours per Resident per Day
1.29349
Adjusted RN Staffing Hours per Resident per Day
0.20996
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33605
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
6.66700
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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