Leisure Homestead At St John - St John Nursing Home

General Information

UPDATE
Federal Provider Number
175529
Provider Name
LEISURE HOMESTEAD AT ST JOHN
Provider Address
402 N SANTA FE AVE
ST JOHN, KS 67576
Provider Phone Number
6205493541
Provider SSA County
920
Provider County Name
Stafford
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEISURE HOMESTEAD ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
2012-07-16
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
3.58409
Reported LPN Staffing Hours per Resident per Day
0.71818
Reported RN Staffing Hours per Resident per Day
0.96818
Reported Licensed Staffing Hours per Resident per Day
1.68636
Reported Total Nurse Staffing Hours per Resident per Day
5.27045
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00682
Expected CNA Staffing Hours per Resident per Day
2.31786
Expected LPN Staffing Hours per Resident per Day
0.53700
Expected RN Staffing Hours per Resident per Day
0.69059
Expected Total Nurse Staffing Hours per Resident per Day
3.54545
Adjusted CNA Staffing Hours per Resident per Day
3.79415
Adjusted LPN Staffing Hours per Resident per Day
1.11003
Adjusted RN Staffing Hours per Resident per Day
1.04754
Adjusted Total Nurse Staffing Hours per Resident per Day
5.99209
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
291
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
291
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
103
Cycle 2 Standard Health Survey Date
2013-07-02
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
187.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
14430
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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