Calvert City Convalescent Center - Calvert City Nursing Home
General Information
UPDATEFederal Provider Number
185234
Provider Name
CALVERT CITY CONVALESCENT CENTER
Provider Address
1201 FIFTH AVE
CALVERT CITY, KY 42029
CALVERT CITY, KY 42029
Provider Phone Number
(270) 395-4124
Provider SSA County
780
Provider County Name
Marshall
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CALVERT CITY CONVALESCENT CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1991-01-03
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.99011
Reported LPN Staffing Hours per Resident per Day
0.78242
Reported RN Staffing Hours per Resident per Day
0.65604
Reported Licensed Staffing Hours per Resident per Day
1.43846
Reported Total Nurse Staffing Hours per Resident per Day
3.42857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06099
Expected CNA Staffing Hours per Resident per Day
2.55798
Expected LPN Staffing Hours per Resident per Day
0.63873
Expected RN Staffing Hours per Resident per Day
1.00688
Expected Total Nurse Staffing Hours per Resident per Day
4.20359
Adjusted CNA Staffing Hours per Resident per Day
1.90898
Adjusted LPN Staffing Hours per Resident per Day
1.01672
Adjusted RN Staffing Hours per Resident per Day
0.48685
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28772
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
56
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
10238
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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