Citizens Medical Center Ltcu - Colby Nursing Home
General Information
UPDATEFederal Provider Number
170000000000000000000000000000
Provider Name
CITIZENS MEDICAL CENTER LTCU
Provider Address
1625 S FRANKLIN AVE
COLBY, KS 67701
COLBY, KS 67701
Provider Phone Number
7854628295
Provider SSA County
960
Provider County Name
Thomas
Ownership Type
Government - Hospital district
Number of Certified Beds
63
Number of Residents in Certified Beds
51
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1981-08-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.92451
Reported LPN Staffing Hours per Resident per Day
0.60490
Reported RN Staffing Hours per Resident per Day
0.64706
Reported Licensed Staffing Hours per Resident per Day
1.25196
Reported Total Nurse Staffing Hours per Resident per Day
4.17647
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00980
Expected CNA Staffing Hours per Resident per Day
2.32162
Expected LPN Staffing Hours per Resident per Day
0.58214
Expected RN Staffing Hours per Resident per Day
0.82884
Expected Total Nurse Staffing Hours per Resident per Day
3.73260
Adjusted CNA Staffing Hours per Resident per Day
3.09088
Adjusted LPN Staffing Hours per Resident per Day
0.86246
Adjusted RN Staffing Hours per Resident per Day
0.58333
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51024
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-06-25
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-03-18
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
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
103
Cycle 3 Standard Health Survey Date
2011-12-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
103
Total Weighted Health Survey Score
47.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Colby Health And Rehab
105 East College Drive |
COLBY KS 67701 | 0.4 mile away
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