Cherryvale Nursing And Rehabilitation Center - Cherryvale Nursing Home
General Information
UPDATEFederal Provider Number
175335
Provider Name
CHERRYVALE NURSING AND REHABILITATION CENTER
Provider Address
1001 W MAIN ST PO BOX 366
CHERRYVALE, KS 67335
CHERRYVALE, KS 67335
Provider Phone Number
(620) 336-2102
Provider SSA County
620
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHERRYVALE MANAGEMENT, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-12-15
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
4
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
2.40952
Reported LPN Staffing Hours per Resident per Day
0.29167
Reported RN Staffing Hours per Resident per Day
0.55476
Reported Licensed Staffing Hours per Resident per Day
0.84643
Reported Total Nurse Staffing Hours per Resident per Day
3.25595
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00833
Expected CNA Staffing Hours per Resident per Day
2.48359
Expected LPN Staffing Hours per Resident per Day
0.56985
Expected RN Staffing Hours per Resident per Day
0.86839
Expected Total Nurse Staffing Hours per Resident per Day
3.92184
Adjusted CNA Staffing Hours per Resident per Day
2.38052
Adjusted LPN Staffing Hours per Resident per Day
0.42482
Adjusted RN Staffing Hours per Resident per Day
0.47734
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34649
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-05-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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