Bethany Home Association - Lindsborg Nursing Home

General Information

UPDATE
Federal Provider Number
175507
Provider Name
BETHANY HOME ASSOCIATION
Provider Address
321 N CHESTNUT ST
LINDSBORG, KS 67456
Provider Phone Number
7852272334
Provider SSA County
560
Provider County Name
Mcpherson
Ownership Type
Non profit - Church related
Number of Certified Beds
105
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHANY HOME ASSOCIATION OF LINDSBORG KANSAS
Date First Approved to Provide Medicare and Medicaid services
2008-09-29
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.69111
Reported LPN Staffing Hours per Resident per Day
0.98278
Reported RN Staffing Hours per Resident per Day
0.71056
Reported Licensed Staffing Hours per Resident per Day
1.69333
Reported Total Nurse Staffing Hours per Resident per Day
5.38445
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01889
Expected CNA Staffing Hours per Resident per Day
2.29288
Expected LPN Staffing Hours per Resident per Day
0.57976
Expected RN Staffing Hours per Resident per Day
0.83134
Expected Total Nurse Staffing Hours per Resident per Day
3.70398
Adjusted CNA Staffing Hours per Resident per Day
3.95000
Adjusted LPN Staffing Hours per Resident per Day
1.40698
Adjusted RN Staffing Hours per Resident per Day
0.63864
Adjusted Total Nurse Staffing Hours per Resident per Day
5.85969
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
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
2013-07-15
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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