Beaver Dam Nursing & Rehab Center, Inc - Beaver Dam Nursing Home
General Information
UPDATEFederal Provider Number
185334
Provider Name
BEAVER DAM NURSING & REHAB CENTER, INC
Provider Address
1595 US HWY 231 S.
BEAVER DAM, KY 42320
BEAVER DAM, KY 42320
Provider Phone Number
2702749646
Provider SSA County
910
Provider County Name
Ohio
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEAVER DAM NURSING & REHAB CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1992-06-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.75102
Reported LPN Staffing Hours per Resident per Day
0.74388
Reported RN Staffing Hours per Resident per Day
0.88673
Reported Licensed Staffing Hours per Resident per Day
1.63061
Reported Total Nurse Staffing Hours per Resident per Day
4.38163
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09082
Expected CNA Staffing Hours per Resident per Day
2.73673
Expected LPN Staffing Hours per Resident per Day
0.73059
Expected RN Staffing Hours per Resident per Day
1.17322
Expected Total Nurse Staffing Hours per Resident per Day
4.64054
Adjusted CNA Staffing Hours per Resident per Day
2.46652
Adjusted LPN Staffing Hours per Resident per Day
0.84509
Adjusted RN Staffing Hours per Resident per Day
0.56474
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80600
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-12
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
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
67.33300
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
Nursiong Homes Nearby
Professional Care Health & Rehabilitation Center
114 Mcmurtry Ave. |
HARTFORD KY 42347 | 5.9 miles away
Fordsville Nursing And Rehabilitation Center
313 Main Street |
FORDSVILLE KY 42343 | 19.5 miles away
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