Cambridge Place - Marysville Nursing Home
General Information
UPDATEFederal Provider Number
175350
Provider Name
CAMBRIDGE PLACE
Provider Address
1100 N 16TH
MARYSVILLE, KS 66508
MARYSVILLE, KS 66508
Provider Phone Number
(785) 562-5321
Provider SSA County
580
Provider County Name
Marshall
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLUE VALLEY HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
3.61622
Reported LPN Staffing Hours per Resident per Day
0.55608
Reported RN Staffing Hours per Resident per Day
0.62770
Reported Licensed Staffing Hours per Resident per Day
1.18378
Reported Total Nurse Staffing Hours per Resident per Day
4.80000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01554
Expected CNA Staffing Hours per Resident per Day
2.26721
Expected LPN Staffing Hours per Resident per Day
0.52920
Expected RN Staffing Hours per Resident per Day
0.76368
Expected Total Nurse Staffing Hours per Resident per Day
3.56010
Adjusted CNA Staffing Hours per Resident per Day
3.91367
Adjusted LPN Staffing Hours per Resident per Day
0.87215
Adjusted RN Staffing Hours per Resident per Day
0.61415
Adjusted Total Nurse Staffing Hours per Resident per Day
5.43477
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
19
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
87.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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