Martin County Health Care Facility - Inez Nursing Home
General Information
UPDATEFederal Provider Number
185379
Provider Name
MARTIN COUNTY HEALTH CARE FACILITY
Provider Address
62 MAUDE ROAD
INEZ, KY 41224
INEZ, KY 41224
Provider Phone Number
6062980091
Provider SSA County
790
Provider County Name
Martin
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARTIN MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
1993-06-14
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.81271
Reported LPN Staffing Hours per Resident per Day
0.62203
Reported RN Staffing Hours per Resident per Day
0.56780
Reported Licensed Staffing Hours per Resident per Day
1.18983
Reported Total Nurse Staffing Hours per Resident per Day
4.00254
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05085
Expected CNA Staffing Hours per Resident per Day
2.61611
Expected LPN Staffing Hours per Resident per Day
0.70053
Expected RN Staffing Hours per Resident per Day
1.09188
Expected Total Nurse Staffing Hours per Resident per Day
4.40852
Adjusted CNA Staffing Hours per Resident per Day
2.63810
Adjusted LPN Staffing Hours per Resident per Day
0.73699
Adjusted RN Staffing Hours per Resident per Day
0.38856
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65969
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
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
4
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-23
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
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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