Hearthstone Place - Elkton Nursing Home
General Information
UPDATEFederal Provider Number
185400
Provider Name
HEARTHSTONE PLACE
Provider Address
506 ALLENSVILLE ROAD
ELKTON, KY 42220
ELKTON, KY 42220
Provider Phone Number
2702655321
Provider SSA County
982
Provider County Name
Todd
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BOLSTER & JEFFRIES HEALTH CARE GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1994-06-29
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.88469
Reported LPN Staffing Hours per Resident per Day
0.89694
Reported RN Staffing Hours per Resident per Day
0.52347
Reported Licensed Staffing Hours per Resident per Day
1.42041
Reported Total Nurse Staffing Hours per Resident per Day
4.30510
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10918
Expected CNA Staffing Hours per Resident per Day
2.63438
Expected LPN Staffing Hours per Resident per Day
0.67278
Expected RN Staffing Hours per Resident per Day
1.05576
Expected Total Nurse Staffing Hours per Resident per Day
4.36292
Adjusted CNA Staffing Hours per Resident per Day
2.68684
Adjusted LPN Staffing Hours per Resident per Day
1.10655
Adjusted RN Staffing Hours per Resident per Day
0.37048
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97748
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
219
Cycle 2 Standard Health Survey Date
2013-08-23
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
14
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
342
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
342
Total Weighted Health Survey Score
136.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
3
Total Amount of Fines in Dollars
88542
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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