Clark Regional Medical Center - Winchester Nursing Home

General Information

UPDATE
Federal Provider Number
185428
Provider Name
CLARK REGIONAL MEDICAL CENTER
Provider Address
175 HOSPITAL DRIVE
WINCHESTER, KY 40391
Provider Phone Number
(859) 745-3500
Provider SSA County
240
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
25
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
KENTUCKY HOSPITAL, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-09-16
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.65909
Reported LPN Staffing Hours per Resident per Day
1.04318
Reported RN Staffing Hours per Resident per Day
1.92273
Reported Licensed Staffing Hours per Resident per Day
2.96591
Reported Total Nurse Staffing Hours per Resident per Day
4.62500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11591
Expected CNA Staffing Hours per Resident per Day
2.68176
Expected LPN Staffing Hours per Resident per Day
0.63982
Expected RN Staffing Hours per Resident per Day
1.03648
Expected Total Nurse Staffing Hours per Resident per Day
4.35806
Adjusted CNA Staffing Hours per Resident per Day
1.51800
Adjusted LPN Staffing Hours per Resident per Day
1.35326
Adjusted RN Staffing Hours per Resident per Day
1.38610
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27780
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-20
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
30.66700
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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