Community Hospital Onaga Ltcu - St Marys Nursing Home
General Information
UPDATEFederal Provider Number
170000000000000000000000000000
Provider Name
COMMUNITY HOSPITAL ONAGA LTCU
Provider Address
206 GRAND AVE
ST MARYS, KS 66536
ST MARYS, KS 66536
Provider Phone Number
7854372286
Provider SSA County
740
Provider County Name
Pottawatomie
Ownership Type
Non profit - Other
Number of Certified Beds
39
Number of Residents in Certified Beds
32
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-08-01
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
3.22500
Reported LPN Staffing Hours per Resident per Day
1.12188
Reported RN Staffing Hours per Resident per Day
0.69375
Reported Licensed Staffing Hours per Resident per Day
1.81563
Reported Total Nurse Staffing Hours per Resident per Day
5.04063
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.48868
Expected LPN Staffing Hours per Resident per Day
0.57046
Expected RN Staffing Hours per Resident per Day
0.75178
Expected Total Nurse Staffing Hours per Resident per Day
3.81092
Adjusted CNA Staffing Hours per Resident per Day
3.17967
Adjusted LPN Staffing Hours per Resident per Day
1.63230
Adjusted RN Staffing Hours per Resident per Day
0.68952
Adjusted Total Nurse Staffing Hours per Resident per Day
5.33159
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-12-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
20
Cycle 3 Standard Health Survey Date
2012-07-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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