Carmel Manor - Fort Thomas Nursing Home
General Information
UPDATEFederal Provider Number
185208
Provider Name
CARMEL MANOR
Provider Address
100 CARMEL MANOR ROAD
FORT THOMAS, KY 41075
FORT THOMAS, KY 41075
Provider Phone Number
(859) 781-5111
Provider SSA County
180
Provider County Name
Campbell
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
65
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARMEL MANOR
Date First Approved to Provide Medicare and Medicaid services
1990-07-05
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.17540
Reported LPN Staffing Hours per Resident per Day
0.58016
Reported RN Staffing Hours per Resident per Day
0.88651
Reported Licensed Staffing Hours per Resident per Day
1.46667
Reported Total Nurse Staffing Hours per Resident per Day
3.64207
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02143
Expected CNA Staffing Hours per Resident per Day
2.83345
Expected LPN Staffing Hours per Resident per Day
0.63717
Expected RN Staffing Hours per Resident per Day
0.98806
Expected Total Nurse Staffing Hours per Resident per Day
4.45868
Adjusted CNA Staffing Hours per Resident per Day
1.88385
Adjusted LPN Staffing Hours per Resident per Day
0.75573
Adjusted RN Staffing Hours per Resident per Day
0.67040
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29264
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
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
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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