Georgetown Manor - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185096
Provider Name
GEORGETOWN MANOR
Provider Address
900 GAGEL AVENUE
LOUISVILLE, KY 40216
LOUISVILLE, KY 40216
Provider Phone Number
5023685827
Provider SSA County
550
Provider County Name
Jefferson
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AHF KENTUCKY-IOWA, INC
Date First Approved to Provide Medicare and Medicaid services
1974-01-01
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.04908
Reported LPN Staffing Hours per Resident per Day
0.78578
Reported RN Staffing Hours per Resident per Day
0.73807
Reported Licensed Staffing Hours per Resident per Day
1.52385
Reported Total Nurse Staffing Hours per Resident per Day
3.57293
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01422
Expected CNA Staffing Hours per Resident per Day
2.43485
Expected LPN Staffing Hours per Resident per Day
0.57528
Expected RN Staffing Hours per Resident per Day
0.93252
Expected Total Nurse Staffing Hours per Resident per Day
3.94265
Adjusted CNA Staffing Hours per Resident per Day
2.06495
Adjusted LPN Staffing Hours per Resident per Day
1.13370
Adjusted RN Staffing Hours per Resident per Day
0.59139
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65291
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-19
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
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
22.00000
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
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