Cumbernauld Village - Winfield Nursing Home

General Information

Federal Provider Number
17E589
Provider Name
CUMBERNAULD VILLAGE
Provider Address
716 TWEED ST
WINFIELD, KS 67156
Provider Phone Number
6202214141
Provider SSA County
170
Provider County Name
Cowley
Ownership Type
Non profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
41
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1996-02-26
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.91585
Reported LPN Staffing Hours per Resident per Day
0.74390
Reported RN Staffing Hours per Resident per Day
0.31707
Reported Licensed Staffing Hours per Resident per Day
1.06098
Reported Total Nurse Staffing Hours per Resident per Day
4.97682
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01098
Expected CNA Staffing Hours per Resident per Day
2.26321
Expected LPN Staffing Hours per Resident per Day
0.53288
Expected RN Staffing Hours per Resident per Day
0.68475
Expected Total Nurse Staffing Hours per Resident per Day
3.48083
Adjusted CNA Staffing Hours per Resident per Day
4.24544
Adjusted LPN Staffing Hours per Resident per Day
1.15869
Adjusted RN Staffing Hours per Resident per Day
0.34599
Adjusted Total Nurse Staffing Hours per Resident per Day
5.76329
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-02-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2012-12-21
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
48
Cycle 2 Total Health Score
144
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-09-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
87.33300
Number of Facility Reported Incidents
Number of Substantiated Complaints
Number of Fines
Total Amount of Fines in Dollars
Number of Payment Denials
Total Number of Penalties
Location
Processing Date
2015-06-01