Atchison Senior Village - Atchison Nursing Home
General Information
UPDATEFederal Provider Number
175531
Provider Name
ATCHISON SENIOR VILLAGE
Provider Address
1419 N 6TH ST
ATCHISON, KS 66002
ATCHISON, KS 66002
Provider Phone Number
(913) 367-1905
Provider SSA County
20
Provider County Name
Atchison
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
54
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF ATCHISON
Date First Approved to Provide Medicare and Medicaid services
2013-03-04
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.48365
Reported LPN Staffing Hours per Resident per Day
1.00673
Reported RN Staffing Hours per Resident per Day
0.42788
Reported Licensed Staffing Hours per Resident per Day
1.43462
Reported Total Nurse Staffing Hours per Resident per Day
3.91826
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00673
Expected CNA Staffing Hours per Resident per Day
2.28088
Expected LPN Staffing Hours per Resident per Day
0.51712
Expected RN Staffing Hours per Resident per Day
0.74911
Expected Total Nurse Staffing Hours per Resident per Day
3.54711
Adjusted CNA Staffing Hours per Resident per Day
2.67183
Adjusted LPN Staffing Hours per Resident per Day
1.61584
Adjusted RN Staffing Hours per Resident per Day
0.42679
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45267
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2015-04-22
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
50
Cycle 2 Total Health Score
150
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-09-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
109.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
5070
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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