Cheney Golden Age Home - Cheney Nursing Home
General Information
UPDATEFederal Provider Number
175399
Provider Name
CHENEY GOLDEN AGE HOME
Provider Address
724 N MAIN PO BOX 370
CHENEY, KS 67025
CHENEY, KS 67025
Provider Phone Number
3165403691
Provider SSA County
860
Provider County Name
Sedgwick
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHENEY GOLDEN AGE HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-12-01
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.00714
Reported LPN Staffing Hours per Resident per Day
0.55833
Reported RN Staffing Hours per Resident per Day
0.57857
Reported Licensed Staffing Hours per Resident per Day
1.13690
Reported Total Nurse Staffing Hours per Resident per Day
4.14404
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03214
Expected CNA Staffing Hours per Resident per Day
2.34336
Expected LPN Staffing Hours per Resident per Day
0.65735
Expected RN Staffing Hours per Resident per Day
1.06451
Expected Total Nurse Staffing Hours per Resident per Day
4.06522
Adjusted CNA Staffing Hours per Resident per Day
3.14873
Adjusted LPN Staffing Hours per Resident per Day
0.70497
Adjusted RN Staffing Hours per Resident per Day
0.40611
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10905
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-07-01
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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