Clinton-hickman County Nursing Facility - Clinton Nursing Home
General Information
UPDATEFederal Provider Number
185326
Provider Name
CLINTON-HICKMAN COUNTY NURSING FACILITY
Provider Address
366 S. WASHINGTON ST.
CLINTON, KY 42031
CLINTON, KY 42031
Provider Phone Number
(270) 653-2461
Provider SSA County
511
Provider County Name
Hickman
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLINTON AND HICKMAN COUNTY HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
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
2.81341
Reported LPN Staffing Hours per Resident per Day
0.68780
Reported RN Staffing Hours per Resident per Day
0.67683
Reported Licensed Staffing Hours per Resident per Day
1.36463
Reported Total Nurse Staffing Hours per Resident per Day
4.17804
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01707
Expected CNA Staffing Hours per Resident per Day
2.40764
Expected LPN Staffing Hours per Resident per Day
0.63862
Expected RN Staffing Hours per Resident per Day
0.90331
Expected Total Nurse Staffing Hours per Resident per Day
3.94957
Adjusted CNA Staffing Hours per Resident per Day
2.86723
Adjusted LPN Staffing Hours per Resident per Day
0.89392
Adjusted RN Staffing Hours per Resident per Day
0.55986
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26408
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-08-21
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3900
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Arbor Place Of Clinton
106 Padgett Drive |
CLINTON KY 42031 | 0.7 mile away