Dawson Place - Hill City Nursing Home

General Information

UPDATE
Federal Provider Number
17E451
Provider Name
DAWSON PLACE
Provider Address
208 W PROUT ST
HILL CITY, KS 67642
Provider Phone Number
7854213414
Provider SSA County
320
Provider County Name
Graham
Ownership Type
Non profit - Corporation
Number of Certified Beds
36
Number of Residents in Certified Beds
32
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
1976-07-06
Continuing Care Retirement Community
Y
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
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.87344
Reported LPN Staffing Hours per Resident per Day
0.71406
Reported RN Staffing Hours per Resident per Day
0.63281
Reported Licensed Staffing Hours per Resident per Day
1.34688
Reported Total Nurse Staffing Hours per Resident per Day
4.22031
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01563
Expected CNA Staffing Hours per Resident per Day
2.32978
Expected LPN Staffing Hours per Resident per Day
0.67327
Expected RN Staffing Hours per Resident per Day
0.98418
Expected Total Nurse Staffing Hours per Resident per Day
3.98724
Adjusted CNA Staffing Hours per Resident per Day
3.02627
Adjusted LPN Staffing Hours per Resident per Day
0.88028
Adjusted RN Staffing Hours per Resident per Day
0.48044
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26653
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
213
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
107
Cycle 2 Total Health Score
107
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
2012-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
156.66700
Number of Facility Reported Incidents
2
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
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