Heritage Square Healthcare Center · Chc Heritage Square Nursing Center, LLC

8707633654 · 710 No Ruddle Road, Blytheville, AR 72316

Overview

Heritage Square Healthcare Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #045366. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 710 No Ruddle Road, Blytheville, AR 72316. The overall rating is 4.

Federal Provider Number 045366
Provider Name HERITAGE SQUARE HEALTHCARE CENTER
Legal Business Name CHC HERITAGE SQUARE NURSING CENTER, LLC
Address 710 No Ruddle Road
Blytheville
AR 72316
County Mississippi
Telephone 8707633654
Ownership Type For profit - Limited Liability company
Provider Type Medicare and Medicaid
Date Approved 2001-04-19
Number of Certified Beds 86
Average Number of Residents per Day 64.7
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 3
Long Stay Quality Measure Rating 3
Short Stay Quality Measure Rating 3
Staffing Rating 3
Registered Nurses Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.46439
Reported LPN Staffing Hours per Resident per Day 1.10554
Reported RN Staffing Hours per Resident per Day 0.40861
Reported Licensed Staffing Hours per Resident per Day 1.51414
Reported Total Nurse Staffing Hours per Resident per Day 3.97853
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01015
Expected CNA Staffing Hours per Resident per Day 1.98058
Expected LPN Staffing Hours per Resident per Day 0.67320
Expected RN Staffing Hours per Resident per Day 0.33599
Expected Total Nurse Staffing Hours per Resident per Day 2.98977
Adjusted CNA Staffing Hours per Resident per Day 2.56170
Adjusted LPN Staffing Hours per Resident per Day 1.21673
Adjusted RN Staffing Hours per Resident per Day 0.48670
Adjusted Total Nurse Staffing Hours per Resident per Day 4.25815
Rating Cycle 1 Standard Survey Health Date 2020-02-27
Rating Cycle 1 Total Number of Health Deficiencies 6
Rating Cycle 1 Number of Standard Health Deficiencies 3
Rating Cycle 1 Number of Complavarchar Health Deficiencies 3
Rating Cycle 1 Health Deficiency Score 48
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 48
Rating Cycle 2 Standard Health Survey Date 2019-02-08
Rating Cycle 2 Total Number of Health Deficiencies 6
Rating Cycle 2 Number of Standard Health Deficiencies 6
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 52
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 52
Rating Cycle 3 Standard Health Survey Date 2018-03-16
Rating Cycle 3 Total Number of Health Deficiencies 3
Rating Cycle 3 Number of Standard Health Deficiencies 1
Rating Cycle 3 Number of Complavarchar Health Deficiencies 2
Rating Cycle 3 Health Deficiency Score 20
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 44.667
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 1
Number of Citations from Infection Control Inspections 3
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
HERITAGE SQUARE HEALTHCARE CENTER

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTVANN, DAVIDIndividual50%since 11/01/2018
5% OR GREATER DIRECT OWNERSHIP INTERESTWRIGHT, BOYDIndividual50%since 11/01/2018
MANAGING EMPLOYEEWILLIAMS, CARNAILIndividualsince 01/08/2019
OFFICERVANN, DAVIDIndividualsince 11/01/2018
OFFICERWRIGHT, BOYDIndividualsince 11/01/2018
OPERATIONAL/MANAGERIAL CONTROLWILLIAMS, CARNAILIndividualsince 01/08/2019

Location Information

Street Address 710 NO RUDDLE ROAD
City BLYTHEVILLE
State AR
Zip Code 72316

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.