Letcher Manor - Whitesburg Nursing Home
General Information
UPDATEFederal Provider Number
185200
Provider Name
LETCHER MANOR
Provider Address
73 PIEDMONT DRIVE
WHITESBURG, KY 41858
WHITESBURG, KY 41858
Provider Phone Number
6066331434
Provider SSA County
660
Provider County Name
Letcher
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DJ LETCHER MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-02
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
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.49292
Reported LPN Staffing Hours per Resident per Day
0.71460
Reported RN Staffing Hours per Resident per Day
0.69513
Reported Licensed Staffing Hours per Resident per Day
1.40973
Reported Total Nurse Staffing Hours per Resident per Day
4.90265
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11991
Expected CNA Staffing Hours per Resident per Day
2.50772
Expected LPN Staffing Hours per Resident per Day
0.73701
Expected RN Staffing Hours per Resident per Day
1.14606
Expected Total Nurse Staffing Hours per Resident per Day
4.39079
Adjusted CNA Staffing Hours per Resident per Day
3.41768
Adjusted LPN Staffing Hours per Resident per Day
0.80476
Adjusted RN Staffing Hours per Resident per Day
0.45320
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50080
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
20
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
0
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
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.00000
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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