Hurstbourne Care Centre At Stony Brook - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185289
Provider Name
HURSTBOURNE CARE CENTRE AT STONY BROOK
Provider Address
2200 STONY BROOK DR
LOUISVILLE, KY 40220
LOUISVILLE, KY 40220
Provider Phone Number
5024956240
Provider SSA County
550
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HURSTBOURNE HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-07-25
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
2
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
2.19350
Reported LPN Staffing Hours per Resident per Day
0.61951
Reported RN Staffing Hours per Resident per Day
0.92195
Reported Licensed Staffing Hours per Resident per Day
1.54146
Reported Total Nurse Staffing Hours per Resident per Day
3.73496
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03252
Expected CNA Staffing Hours per Resident per Day
2.81779
Expected LPN Staffing Hours per Resident per Day
0.77822
Expected RN Staffing Hours per Resident per Day
1.12852
Expected Total Nurse Staffing Hours per Resident per Day
4.72453
Adjusted CNA Staffing Hours per Resident per Day
1.91008
Adjusted LPN Staffing Hours per Resident per Day
0.66073
Adjusted RN Staffing Hours per Resident per Day
0.61043
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18661
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
161
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
161
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-12
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
9
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
109.83300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
26748
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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