Westview Of Derby - Derby Nursing Home
General Information
UPDATEFederal Provider Number
175218
Provider Name
WESTVIEW OF DERBY
Provider Address
445 N WESTVIEW DR
DERBY, KS 67037
DERBY, KS 67037
Provider Phone Number
3167883739
Provider SSA County
860
Provider County Name
Sedgwick
Ownership Type
For profit - Individual
Number of Certified Beds
90
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LSL OF DERBY KS LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
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
2.15179
Reported LPN Staffing Hours per Resident per Day
0.55446
Reported RN Staffing Hours per Resident per Day
0.59821
Reported Licensed Staffing Hours per Resident per Day
1.15268
Reported Total Nurse Staffing Hours per Resident per Day
3.30446
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03214
Expected CNA Staffing Hours per Resident per Day
2.36313
Expected LPN Staffing Hours per Resident per Day
0.68336
Expected RN Staffing Hours per Resident per Day
0.96680
Expected Total Nurse Staffing Hours per Resident per Day
4.01329
Adjusted CNA Staffing Hours per Resident per Day
2.23426
Adjusted LPN Staffing Hours per Resident per Day
0.67344
Adjusted RN Staffing Hours per Resident per Day
0.46233
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31896
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-12-18
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
8
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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