White Hall Health And Rehab, Llc - White Hall Nursing Home

General Information

UPDATE
Federal Provider Number
45372
Provider Name
WHITE HALL HEALTH AND REHAB, LLC
Provider Address
9209 DOLLARWAY ROAD
WHITE HALL, AR 71602
Provider Phone Number
(870) 247-0800
Provider SSA County
340
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITE HALL HEALTH & REHAB LLC
Date First Approved to Provide Medicare and Medicaid services
2002-05-09
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
4.05000
Reported LPN Staffing Hours per Resident per Day
1.31781
Reported RN Staffing Hours per Resident per Day
0.44315
Reported Licensed Staffing Hours per Resident per Day
1.76096
Reported Total Nurse Staffing Hours per Resident per Day
5.81096
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07055
Expected CNA Staffing Hours per Resident per Day
2.42171
Expected LPN Staffing Hours per Resident per Day
0.62842
Expected RN Staffing Hours per Resident per Day
0.84583
Expected Total Nurse Staffing Hours per Resident per Day
3.89597
Adjusted CNA Staffing Hours per Resident per Day
4.10350
Adjusted LPN Staffing Hours per Resident per Day
1.74052
Adjusted RN Staffing Hours per Resident per Day
0.39147
Adjusted Total Nurse Staffing Hours per Resident per Day
6.01222
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
172
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
3
Cycle 1 Health Revisit Score
120
Cycle 1 Total Health Score
292
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2014-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
182.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
2600
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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