Claiborne Healthcare Center
1536 Claiborne Avenue, Shreveport, LA 71103


Claiborne Healthcare Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 195316. The address is 1536 Claiborne Avenue, Shreveport, LA 71103. The zip code is 71103. The phone number is 3186313426.


Claiborne Healthcare Center · 1536 Claiborne Avenue, Shreveport, LA 71103

Federal Provider Number 195316
Provider Name CLAIBORNE HEALTHCARE CENTER
Address 1536 CLAIBORNE AVENUE
SHREVEPORT, LA 71103
Phone Number 3186313426
SSA County Code 80
County Name Caddo
Ownership Type For profit - Corporation
Certified Beds 81
Certified Beds Residents 70
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name NEXION HEALTH AT CLAIBORNE, INC.
Date First Approved to Provide Medicare Medicaid Services 02/01/1995
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.42643
Reported LPN Staffing Hours per Resident per Day 0.72786
Reported RN Staffing Hours per Resident per Day 0.63571
Reported Licensed Staffing Hours per Resident per Day 1.36357
Reported Total Nurse Staffing Hours per Resident per Day 2.79
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03071
Expected CNA Staffing Hours per Resident per Day 2.16255
Expected LPN Staffing Hours per Resident per Day 0.61698
Expected RN Staffing Hours per Resident per Day 1.10246
Expected Total Nurse Staffing Hours per Resident per Day 3.88199
Adjusted CNA Staffing Hours per Resident per Day 1.61847
Adjusted LPN Staffing Hours per Resident per Day 0.97916
Adjusted RN Staffing Hours per Resident per Day 0.43086
Adjusted Total Nurse Staffing Hours per Resident per Day 2.89702
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Number of Complaint Health Deficiencies 4
Cycle 1 Health Deficiency Score 40
Cycle 1 Standard Survey Health Date 02/02/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 40
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 32
Cycle 2 Standard Health Survey Date 01/22/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 32
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 03/06/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 35.333
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Claiborne Healthcare Center

Owner Name Role Association Date
BOLT, BRETTON (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/15/2002
FALLON, JOHN (Individual) OFFICER since 01/15/2002
HERDRICH, WILLIAM (Individual) DIRECTOR since 02/01/2012
KIRLEY, FRANCIS (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/15/2002
KIRLEY, FRANCIS (Individual) DIRECTOR since 01/15/2002
KIRLEY, FRANCIS (Individual) OFFICER since 01/15/2002
LEE, BRIAN (Individual) DIRECTOR since 02/01/2012
LEE, BRIAN (Individual) OFFICER since 02/01/2012
NEXION HEALTH LEASING, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/15/2002
NEXION HEALTH OF OHI INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 09/14/2005
NEXION HEALTH, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/15/2002
NEXION HEALTH, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/15/2002
RINER, MARTHA (Individual) MANAGING EMPLOYEE since 09/05/2012
RINER, MARTHA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/05/2012
RINER, MEERA (Individual) DIRECTOR since 02/01/2012
RINER, MEERA (Individual) OFFICER since 02/01/2012

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