Arkansas City Presbyterian Manor - Arkansas City Nursing Home

General Information

UPDATE
Federal Provider Number
175309
Provider Name
ARKANSAS CITY PRESBYTERIAN MANOR
Provider Address
1711 N 4TH ST
ARKANSAS CITY, KS 67005
Provider Phone Number
(620) 442-8700
Provider SSA County
170
Provider County Name
Cowley
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN MANORS INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.91944
Reported LPN Staffing Hours per Resident per Day
0.47963
Reported RN Staffing Hours per Resident per Day
0.73796
Reported Licensed Staffing Hours per Resident per Day
1.21759
Reported Total Nurse Staffing Hours per Resident per Day
4.13703
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02407
Expected CNA Staffing Hours per Resident per Day
2.52627
Expected LPN Staffing Hours per Resident per Day
0.63913
Expected RN Staffing Hours per Resident per Day
0.96767
Expected Total Nurse Staffing Hours per Resident per Day
4.13308
Adjusted CNA Staffing Hours per Resident per Day
2.83557
Adjusted LPN Staffing Hours per Resident per Day
0.62287
Adjusted RN Staffing Hours per Resident per Day
0.56982
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03476
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-02-18
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-12-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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