Deridder Retirement & Rehabilitation Center
1420 Blankenship Dr, Deridder, LA 70634


Deridder Retirement & Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 195535. The address is 1420 Blankenship Dr, Deridder, LA 70634. The zip code is 70634. The phone number is 3374639022.


Deridder Retirement & Rehabilitation Center · 1420 Blankenship Dr, Deridder, LA 70634

Federal Provider Number 195535
Provider Name DERIDDER RETIREMENT & REHABILITATION CENTER
Address 1420 BLANKENSHIP DR
DERIDDER, LA 70634
Phone Number 3374639022
SSA County Code 50
County Name Beauregard
Ownership Type For profit - Corporation
Certified Beds 90
Certified Beds Residents 58
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name DERIDDER RETIREMENT & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 01/16/2002
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 Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 4
Quality Measure Rating 1
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.08707
Reported LPN Staffing Hours per Resident per Day 0.88707
Reported RN Staffing Hours per Resident per Day 0.45603
Reported Licensed Staffing Hours per Resident per Day 1.3431
Reported Total Nurse Staffing Hours per Resident per Day 3.43017
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04914
Expected CNA Staffing Hours per Resident per Day 2.32861
Expected LPN Staffing Hours per Resident per Day 0.73377
Expected RN Staffing Hours per Resident per Day 1.19954
Expected Total Nurse Staffing Hours per Resident per Day 4.26192
Adjusted CNA Staffing Hours per Resident per Day 2.19919
Adjusted LPN Staffing Hours per Resident per Day 1.00341
Adjusted RN Staffing Hours per Resident per Day 0.28406
Adjusted Total Nurse Staffing Hours per Resident per Day 3.24424
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 08/17/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 07/16/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Health Survey Date 09/11/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 12
Total Weighted Health Survey Score 7.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Deridder Retirement & Rehabilitation Center

Owner Name Role Association Date
B & J LIMITED PARTNERSHIP (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2004
DAVIS, CRAIG (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
since 01/01/2012
DAVIS, ERIC (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
since 01/01/2012
DAVIS, JAMES (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
since 07/01/2004
DAVIS, JAMES (Individual) DIRECTOR since 07/01/2004
JHS MANAGEMENT LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
since 01/01/2012
JKS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
since 01/01/2012
LANDRY, JUDY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/18/2011
MANAGEMENT SEVEN, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2004
POSTON, ALBERT D (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
since 07/01/2004
POSTON, ALBERT D (Individual) DIRECTOR since 07/01/2004
POSTON, BRYAN A (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
since 07/01/2004
POSTON, BRYAN A (Individual) PARTNERSHIP INTEREST since 02/17/2005
POSTON, JUDITH M (Individual) PARTNERSHIP INTEREST since 02/17/2005
POSTON, LARRY S (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
since 07/01/2004
SANDERS, JACK (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
16%
since 07/01/2004
SANDERS, JACK (Individual) DIRECTOR since 07/01/2004
SARA J DAVIS FAMILY INVESTMENTS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
19%
since 01/01/2012
STEVENS, VIKKI (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
since 01/01/2012
SULLIVAN, MARJORIE P (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
since 07/01/2004
THOMAS, FRED (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
21%
since 07/01/2004
THOMAS, FRED (Individual) DIRECTOR since 07/01/2004

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