Clearwater Nursing & Rehabilitation Center - Clearwater Nursing Home
General Information
UPDATEFederal Provider Number
175454
Provider Name
CLEARWATER NURSING & REHABILITATION CENTER
Provider Address
620 E WOOD ST
CLEARWATER, KS 67026
CLEARWATER, KS 67026
Provider Phone Number
(620) 584-2271
Provider SSA County
860
Provider County Name
Sedgwick
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XXXII LP
Date First Approved to Provide Medicare and Medicaid services
2002-05-02
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
3.59597
Reported LPN Staffing Hours per Resident per Day
0.09758
Reported RN Staffing Hours per Resident per Day
0.81694
Reported Licensed Staffing Hours per Resident per Day
0.91452
Reported Total Nurse Staffing Hours per Resident per Day
4.51049
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05403
Expected CNA Staffing Hours per Resident per Day
2.71642
Expected LPN Staffing Hours per Resident per Day
0.62237
Expected RN Staffing Hours per Resident per Day
0.88385
Expected Total Nurse Staffing Hours per Resident per Day
4.22265
Adjusted CNA Staffing Hours per Resident per Day
3.24818
Adjusted LPN Staffing Hours per Resident per Day
0.13013
Adjusted RN Staffing Hours per Resident per Day
0.69063
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30567
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2011-10-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
82.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
1200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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