Colby Health And Rehab - Colby Nursing Home
General Information
UPDATEFederal Provider Number
175202
Provider Name
COLBY HEALTH AND REHAB
Provider Address
105 EAST COLLEGE DRIVE
COLBY, KS 67701
COLBY, KS 67701
Provider Phone Number
(785) 462-6721
Provider SSA County
960
Provider County Name
Thomas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DESERET HEALTH AND REHAB AT COLBY LLC
Date First Approved to Provide Medicare and Medicaid services
1991-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.20161
Reported LPN Staffing Hours per Resident per Day
0.29677
Reported RN Staffing Hours per Resident per Day
0.89355
Reported Licensed Staffing Hours per Resident per Day
1.19032
Reported Total Nurse Staffing Hours per Resident per Day
3.39193
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02258
Expected CNA Staffing Hours per Resident per Day
2.39441
Expected LPN Staffing Hours per Resident per Day
0.69474
Expected RN Staffing Hours per Resident per Day
1.14088
Expected Total Nurse Staffing Hours per Resident per Day
4.23003
Adjusted CNA Staffing Hours per Resident per Day
2.25613
Adjusted LPN Staffing Hours per Resident per Day
0.35455
Adjusted RN Staffing Hours per Resident per Day
0.58521
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23225
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
173
Cycle 1 Standard Survey Health Date
2014-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
173
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-11-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
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
32
Cycle 3 Standard Health Survey Date
2011-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
114.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
8301
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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