Anthony Community Care Center - Anthony Nursing Home
General Information
UPDATEFederal Provider Number
17E630
Provider Name
ANTHONY COMMUNITY CARE CENTER
Provider Address
212 N 5TH AVE
ANTHONY, KS 67003
ANTHONY, KS 67003
Provider Phone Number
(620) 842-5187
Provider SSA County
380
Provider County Name
Harper
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
40
Number of Residents in Certified Beds
29
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2008-09-26
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
2
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
2.50345
Reported LPN Staffing Hours per Resident per Day
0.45000
Reported RN Staffing Hours per Resident per Day
0.65517
Reported Licensed Staffing Hours per Resident per Day
1.10517
Reported Total Nurse Staffing Hours per Resident per Day
3.60862
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00517
Expected CNA Staffing Hours per Resident per Day
2.31449
Expected LPN Staffing Hours per Resident per Day
0.60444
Expected RN Staffing Hours per Resident per Day
0.89555
Expected Total Nurse Staffing Hours per Resident per Day
3.81448
Adjusted CNA Staffing Hours per Resident per Day
2.65402
Adjusted LPN Staffing Hours per Resident per Day
0.61792
Adjusted RN Staffing Hours per Resident per Day
0.54664
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81336
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
18
Cycle 2 Health Deficiency Score
228
Cycle 2 Standard Health Survey Date
2013-08-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
228
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2012-05-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
160
Total Weighted Health Survey Score
122.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
12
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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