White Pine Care Center - Ely Nursing Home

General Information

UPDATE
Federal Provider Number
295029
Provider Name
WHITE PINE CARE CENTER
Provider Address
1500 AVENUE G
ELY, NV 89301
Provider Phone Number
7752898801
Provider SSA County
160
Provider County Name
White Pine
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN AT ELY, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1976-04-14
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
0.55513
Reported LPN Staffing Hours per Resident per Day
0.57308
Reported RN Staffing Hours per Resident per Day
0.66282
Reported Licensed Staffing Hours per Resident per Day
1.23590
Reported Total Nurse Staffing Hours per Resident per Day
1.79103
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03333
Expected CNA Staffing Hours per Resident per Day
2.39030
Expected LPN Staffing Hours per Resident per Day
0.76186
Expected RN Staffing Hours per Resident per Day
1.12260
Expected Total Nurse Staffing Hours per Resident per Day
4.27476
Adjusted CNA Staffing Hours per Resident per Day
0.56985
Adjusted LPN Staffing Hours per Resident per Day
0.62434
Adjusted RN Staffing Hours per Resident per Day
0.44117
Adjusted Total Nurse Staffing Hours per Resident per Day
1.68886
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
143
Cycle 1 Standard Survey Health Date
2014-07-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
143
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-07-25
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
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
114.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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