Fowler Residential Care - Fowler Nursing Home
General Information
UPDATEFederal Provider Number
175526
Provider Name
FOWLER RESIDENTIAL CARE
Provider Address
401 E 6TH PO BOX 20
FOWLER, KS 67844
FOWLER, KS 67844
Provider Phone Number
6206465215
Provider SSA County
590
Provider County Name
Meade
Ownership Type
Government - Hospital district
Number of Certified Beds
26
Number of Residents in Certified Beds
17
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOWLER HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
2012-05-07
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20000
Reported LPN Staffing Hours per Resident per Day
0.27353
Reported RN Staffing Hours per Resident per Day
2.01176
Reported Licensed Staffing Hours per Resident per Day
2.28529
Reported Total Nurse Staffing Hours per Resident per Day
4.48529
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.26441
Expected LPN Staffing Hours per Resident per Day
0.52150
Expected RN Staffing Hours per Resident per Day
0.76196
Expected Total Nurse Staffing Hours per Resident per Day
3.54787
Adjusted CNA Staffing Hours per Resident per Day
2.38391
Adjusted LPN Staffing Hours per Resident per Day
0.43534
Adjusted RN Staffing Hours per Resident per Day
1.97279
Adjusted Total Nurse Staffing Hours per Resident per Day
5.09595
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-01-24
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
24
Cycle 3 Standard Health Survey Date
2011-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
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
Nursiong Homes Nearby
Meade District Hosp Ltcu Dba Lone Tree Retirement
801 E Grant |
MEADE KS 67864 | 10.1 miles away
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