Clay Center Presbyterian Manor - Clay Center Nursing Home
General Information
UPDATEFederal Provider Number
175310
Provider Name
CLAY CENTER PRESBYTERIAN MANOR
Provider Address
924 EIGHTH ST
CLAY CENTER, KS 67432
CLAY CENTER, KS 67432
Provider Phone Number
(785) 632-5646
Provider SSA County
130
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
56
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN MANORS INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.39815
Reported LPN Staffing Hours per Resident per Day
0.47037
Reported RN Staffing Hours per Resident per Day
1.04815
Reported Licensed Staffing Hours per Resident per Day
1.51852
Reported Total Nurse Staffing Hours per Resident per Day
4.91667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02037
Expected CNA Staffing Hours per Resident per Day
2.77271
Expected LPN Staffing Hours per Resident per Day
0.65219
Expected RN Staffing Hours per Resident per Day
1.02335
Expected Total Nurse Staffing Hours per Resident per Day
4.44825
Adjusted CNA Staffing Hours per Resident per Day
3.00718
Adjusted LPN Staffing Hours per Resident per Day
0.59861
Adjusted RN Staffing Hours per Resident per Day
0.76531
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45537
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-12-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-10-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
24.66700
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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