Sunrise Manor Nursing Home - Hodgenville Nursing Home
General Information
UPDATEFederal Provider Number
185057
Provider Name
SUNRISE MANOR NURSING HOME
Provider Address
717 NORTH LINCOLN BLVD
HODGENVILLE, KY 42748
HODGENVILLE, KY 42748
Provider Phone Number
2703583103
Provider SSA County
610
Provider County Name
Larue
Ownership Type
For profit - Corporation
Number of Certified Beds
137
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP HODGENVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1967-11-14
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.92016
Reported LPN Staffing Hours per Resident per Day
0.96899
Reported RN Staffing Hours per Resident per Day
0.63333
Reported Licensed Staffing Hours per Resident per Day
1.60233
Reported Total Nurse Staffing Hours per Resident per Day
4.52248
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.65072
Expected LPN Staffing Hours per Resident per Day
0.76265
Expected RN Staffing Hours per Resident per Day
1.24519
Expected Total Nurse Staffing Hours per Resident per Day
4.65856
Adjusted CNA Staffing Hours per Resident per Day
2.70312
Adjusted LPN Staffing Hours per Resident per Day
1.05456
Adjusted RN Staffing Hours per Resident per Day
0.38004
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91315
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
157
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
157
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-04-25
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
103.16700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
55348
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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