Willis-knighton Extended Care Center - Shreveport Nursing Home
General Information
UPDATEFederal Provider Number
195622
Provider Name
WILLIS-KNIGHTON EXTENDED CARE CENTER
Provider Address
2550 KINGS HIGHWAY
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
Provider Phone Number
3182124000
Provider SSA County
80
Provider County Name
Caddo
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
Nursiong Homes Nearby
Progressive Care Center
2715 Albert L. Bicknell Dr |
SHREVEPORT LA 71103 | 0.2 mile away
Shreveport Manor, Llc
3302 Mansfield Road |
SHREVEPORT LA 71103 | 0.3 mile away
Roseview Nursing And Rehabilitation Center
3405 Mansfield Road |
SHREVEPORT LA 71103 | 0.4 mile away
Southern Oaks Nursing & Rehabilitation Center
1524 Glen Oaks Place |
SHREVEPORT LA 71103 | 0.9 mile away
Claiborne Healthcare Center
1536 Claiborne Avenue |
SHREVEPORT LA 71103 | 1 mile away
Harmony House Nursing & Rehab Ctr, Inc
1825 Laurel St. |
SHREVEPORT LA 71103 | 1.1 miles away
Magnolia Manor Nursing And Rehab Ctr, Llc
1411 Claiborne Avenue |
SHREVEPORT LA 71103 | 1.1 miles away
Highland Place Rehab And Nursing Center
1736 Irving Place |
SHREVEPORT LA 71101 | 2.1 miles away
Pierremont Healthcare Center
725 Mitchell Lane |
SHREVEPORT LA 71106 | 2.8 miles away
Booker T. Washington Guest Care Center
7605 Line Avenue |
SHREVEPORT LA 71106 | 3.7 miles away
Guest Care At Springlake, Llc (the)
8622 Line Avenue |
SHREVEPORT LA 71106 | 4.7 miles away
Garden Park Nursing & Rehab Ctr, Llc
9111 Linwood Avenue |
SHREVEPORT LA 71106 | 4.7 miles away
Southern Hills Healthcare And Rehabilitation I
9105 Baird Road |
SHREVEPORT LA 71129 | 5.4 miles away
Heritage Manor West
7060 Cottonwood Blvd |
SHREVEPORT LA 71129 | 5.5 miles away
Guest House (the)
9225 Normandie Drive |
SHREVEPORT LA 71118 | 5.9 miles away
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