Crestview Center - Shelbyville Nursing Home
General Information
UPDATEFederal Provider Number
185409
Provider Name
CRESTVIEW CENTER
Provider Address
1871 MIDLAND TRAIL
SHELBYVILLE, KY 40065
SHELBYVILLE, KY 40065
Provider Phone Number
5026332454
Provider SSA County
978
Provider County Name
Shelby
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTVIEW NURSING, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-05-05
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
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.86961
Reported LPN Staffing Hours per Resident per Day
0.78039
Reported RN Staffing Hours per Resident per Day
0.91569
Reported Licensed Staffing Hours per Resident per Day
1.69608
Reported Total Nurse Staffing Hours per Resident per Day
3.56569
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.56281
Expected LPN Staffing Hours per Resident per Day
0.62261
Expected RN Staffing Hours per Resident per Day
1.02546
Expected Total Nurse Staffing Hours per Resident per Day
4.21088
Adjusted CNA Staffing Hours per Resident per Day
1.79001
Adjusted LPN Staffing Hours per Resident per Day
1.04034
Adjusted RN Staffing Hours per Resident per Day
0.66722
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41329
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-05
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Masonic Home Of Shelbyville
711 Frankfort Road |
SHELBYVILLE KY 40066 | 3.1 miles away
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