Yukon Kuskokwim Elder's Home - Bethel Nursing Home
General Information
UPDATEFederal Provider Number
25037
Provider Name
YUKON KUSKOKWIM ELDER'S HOME
Provider Address
1100 CHIEF EDDIE HOFFMAN HWY, PO BOX 528
BETHEL, AK 99559
BETHEL, AK 99559
Provider Phone Number
9075436782
Provider SSA County
50
Provider County Name
Bethel
Ownership Type
Non profit - Corporation
Number of Certified Beds
18
Number of Residents in Certified Beds
18
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
YUKON-KUSKOKWIM HEALTH CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2014-04-10
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
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.43611
Reported LPN Staffing Hours per Resident per Day
2.05833
Reported RN Staffing Hours per Resident per Day
1.12500
Reported Licensed Staffing Hours per Resident per Day
3.18333
Reported Total Nurse Staffing Hours per Resident per Day
6.61944
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.32115
Expected LPN Staffing Hours per Resident per Day
0.56969
Expected RN Staffing Hours per Resident per Day
0.72542
Expected Total Nurse Staffing Hours per Resident per Day
3.61625
Adjusted CNA Staffing Hours per Resident per Day
3.63234
Adjusted LPN Staffing Hours per Resident per Day
2.99886
Adjusted RN Staffing Hours per Resident per Day
1.15878
Adjusted Total Nurse Staffing Hours per Resident per Day
7.37844
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
376
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
376
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
24
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
276
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
138
Cycle 2 Total Health Score
138
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
391.20000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
10400
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Reviews: Be the first to review this provider.
Share your experience with Yukon Kuskokwim Elder's Home. You can help others by writing a review.
