Diversicare Of Council Grove - Council Grove Nursing Home
General Information
UPDATEFederal Provider Number
175239
Provider Name
DIVERSICARE OF COUNCIL GROVE
Provider Address
400 SUNSET DR
COUNCIL GROVE, KS 66846
COUNCIL GROVE, KS 66846
Provider Phone Number
6207675172
Provider SSA County
630
Provider County Name
Morris
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE OF COUNCIL GROVE, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-04-01
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29836
Reported LPN Staffing Hours per Resident per Day
0.56557
Reported RN Staffing Hours per Resident per Day
0.60902
Reported Licensed Staffing Hours per Resident per Day
1.17459
Reported Total Nurse Staffing Hours per Resident per Day
3.47295
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08934
Expected CNA Staffing Hours per Resident per Day
2.56492
Expected LPN Staffing Hours per Resident per Day
0.59430
Expected RN Staffing Hours per Resident per Day
0.90809
Expected Total Nurse Staffing Hours per Resident per Day
4.06731
Adjusted CNA Staffing Hours per Resident per Day
2.19870
Adjusted LPN Staffing Hours per Resident per Day
0.78987
Adjusted RN Staffing Hours per Resident per Day
0.50112
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44186
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-03-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-03-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-12-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
28.00000
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
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