Tri-cities Nursing & Rehabilitation Center - Cumberland Nursing Home
General Information
UPDATEFederal Provider Number
185433
Provider Name
TRI-CITIES NURSING & REHABILITATION CENTER
Provider Address
19101 US HIGHWAY 119 NORTH
CUMBERLAND, KY 40823
CUMBERLAND, KY 40823
Provider Phone Number
6065895421
Provider SSA County
470
Provider County Name
Harlan
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANGING ROCK LTC, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-03-06
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.49231
Reported LPN Staffing Hours per Resident per Day
0.96923
Reported RN Staffing Hours per Resident per Day
0.79385
Reported Licensed Staffing Hours per Resident per Day
1.76308
Reported Total Nurse Staffing Hours per Resident per Day
4.25539
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02308
Expected CNA Staffing Hours per Resident per Day
2.46757
Expected LPN Staffing Hours per Resident per Day
0.67851
Expected RN Staffing Hours per Resident per Day
1.10380
Expected Total Nurse Staffing Hours per Resident per Day
4.24988
Adjusted CNA Staffing Hours per Resident per Day
2.47830
Adjusted LPN Staffing Hours per Resident per Day
1.18563
Adjusted RN Staffing Hours per Resident per Day
0.53738
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03613
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-02-20
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
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
157
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
157
Total Weighted Health Survey Score
39.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
22500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Harlan Health & Rehabilitation Center
200 Medical Center Drive |
HARLAN KY 40831 | 18.4 miles away
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