Country Care Inc - Easton Nursing Home
General Information
UPDATEFederal Provider Number
175411
Provider Name
COUNTRY CARE INC
Provider Address
515 DAWSON
EASTON, KS 66020
EASTON, KS 66020
Provider Phone Number
(913) 773-5517
Provider SSA County
510
Provider County Name
Leavenworth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY CARE INC.
Date First Approved to Provide Medicare and Medicaid services
1997-04-01
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
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57209
Reported LPN Staffing Hours per Resident per Day
0.59186
Reported RN Staffing Hours per Resident per Day
0.54767
Reported Licensed Staffing Hours per Resident per Day
1.13953
Reported Total Nurse Staffing Hours per Resident per Day
3.71162
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00349
Expected CNA Staffing Hours per Resident per Day
2.32586
Expected LPN Staffing Hours per Resident per Day
0.56361
Expected RN Staffing Hours per Resident per Day
0.81677
Expected Total Nurse Staffing Hours per Resident per Day
3.70625
Adjusted CNA Staffing Hours per Resident per Day
2.71346
Adjusted LPN Staffing Hours per Resident per Day
0.87160
Adjusted RN Staffing Hours per Resident per Day
0.50102
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03674
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-01-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
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
56
Cycle 2 Standard Health Survey Date
2012-09-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
161
Cycle 3 Standard Health Survey Date
2011-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
161
Total Weighted Health Survey Score
87.50000
Number of Facility Reported Incidents
2
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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