Elliott Nursing And Rehabilitation Center - Sandy Hook Nursing Home
General Information
UPDATEFederal Provider Number
185415
Provider Name
ELLIOTT NURSING AND REHABILITATION CENTER
Provider Address
RT 32 EAST, HOWARD CREEK RD
SANDY HOOK, KY 41171
SANDY HOOK, KY 41171
Provider Phone Number
6067389400
Provider SSA County
310
Provider County Name
Elliott
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE LEASING CORP.
Date First Approved to Provide Medicare and Medicaid services
1995-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.50139
Reported LPN Staffing Hours per Resident per Day
0.87569
Reported RN Staffing Hours per Resident per Day
0.52708
Reported Licensed Staffing Hours per Resident per Day
1.40278
Reported Total Nurse Staffing Hours per Resident per Day
3.90416
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09931
Expected CNA Staffing Hours per Resident per Day
2.62262
Expected LPN Staffing Hours per Resident per Day
0.71530
Expected RN Staffing Hours per Resident per Day
1.06232
Expected Total Nurse Staffing Hours per Resident per Day
4.40024
Adjusted CNA Staffing Hours per Resident per Day
2.34028
Adjusted LPN Staffing Hours per Resident per Day
1.01610
Adjusted RN Staffing Hours per Resident per Day
0.37073
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57646
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
24
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-07-26
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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