Hicks Golden Years Nursing Home - Monticello Nursing Home
General Information
UPDATEFederal Provider Number
185298
Provider Name
HICKS GOLDEN YEARS NURSING HOME
Provider Address
1901 WEST HIGHWAY 90 BYPASS
MONTICELLO, KY 42633
MONTICELLO, KY 42633
Provider Phone Number
6063486034
Provider SSA County
988
Provider County Name
Wayne
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HICKS ENTERPRISES OF MONTICELLO, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
4.42054
Reported LPN Staffing Hours per Resident per Day
1.35714
Reported RN Staffing Hours per Resident per Day
1.22411
Reported Licensed Staffing Hours per Resident per Day
2.58125
Reported Total Nurse Staffing Hours per Resident per Day
7.00179
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00982
Expected CNA Staffing Hours per Resident per Day
2.62588
Expected LPN Staffing Hours per Resident per Day
0.69181
Expected RN Staffing Hours per Resident per Day
1.07989
Expected Total Nurse Staffing Hours per Resident per Day
4.39758
Adjusted CNA Staffing Hours per Resident per Day
4.13068
Adjusted LPN Staffing Hours per Resident per Day
1.62823
Adjusted RN Staffing Hours per Resident per Day
0.84699
Adjusted Total Nurse Staffing Hours per Resident per Day
6.41796
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
268
Cycle 2 Standard Health Survey Date
2013-08-22
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
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
106.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
210763
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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