Morton County Hospital Ltcu - Elkhart Nursing Home
General Information
UPDATEFederal Provider Number
17E522
Provider Name
MORTON COUNTY HOSPITAL LTCU
Provider Address
445 N HILLTOP PO BOX 937
ELKHART, KS 67950
ELKHART, KS 67950
Provider Phone Number
6206972728
Provider SSA County
640
Provider County Name
Morton
Ownership Type
Government - County
Number of Certified Beds
80
Number of Residents in Certified Beds
73
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1981-04-06
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
4
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
3.10548
Reported LPN Staffing Hours per Resident per Day
0.18767
Reported RN Staffing Hours per Resident per Day
0.58836
Reported Licensed Staffing Hours per Resident per Day
0.77603
Reported Total Nurse Staffing Hours per Resident per Day
3.88151
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00685
Expected CNA Staffing Hours per Resident per Day
2.33044
Expected LPN Staffing Hours per Resident per Day
0.62311
Expected RN Staffing Hours per Resident per Day
0.82033
Expected Total Nurse Staffing Hours per Resident per Day
3.77389
Adjusted CNA Staffing Hours per Resident per Day
3.26973
Adjusted LPN Staffing Hours per Resident per Day
0.24998
Adjusted RN Staffing Hours per Resident per Day
0.53591
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14585
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
28
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
357
Cycle 1 Standard Survey Health Date
2014-01-13
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
179
Cycle 1 Total Health Score
536
Cycle 2 Total Number of Health Deficiencies
29
Cycle 2 Number of Standard Health Deficiencies
23
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
184
Cycle 2 Standard Health Survey Date
2012-09-19
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
92
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2011-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
381.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
9
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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