Louisiana Nursing Homes >> Shreveport Nursing Homes >> Willis-knighton Extended Care Center

Willis-knighton Extended Care Center - Shreveport Nursing Home

General Information

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Federal Provider Number
195622
Provider Name
WILLIS-KNIGHTON EXTENDED CARE CENTER
Provider Address
2550 KINGS HIGHWAY
SHREVEPORT, LA 71103
Provider Phone Number
(318) 212-4000
Provider SSA County
80
Provider County Name
Caddo
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
24
Number of Residents in Certified Beds
20
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
WILLIS KNIGHTON MEDICAL CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2006-08-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.87250
Reported LPN Staffing Hours per Resident per Day
1.40000
Reported RN Staffing Hours per Resident per Day
2.21250
Reported Licensed Staffing Hours per Resident per Day
3.61250
Reported Total Nurse Staffing Hours per Resident per Day
6.48500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.36500
Expected CNA Staffing Hours per Resident per Day
2.09030
Expected LPN Staffing Hours per Resident per Day
0.66321
Expected RN Staffing Hours per Resident per Day
1.54795
Expected Total Nurse Staffing Hours per Resident per Day
4.30146
Adjusted CNA Staffing Hours per Resident per Day
3.37188
Adjusted LPN Staffing Hours per Resident per Day
1.75209
Adjusted RN Staffing Hours per Resident per Day
1.06798
Adjusted Total Nurse Staffing Hours per Resident per Day
6.07709
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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