Decatur County Hospital Ltcu - Oberlin Nursing Home
General Information
UPDATEFederal Provider Number
17A036
Provider Name
DECATUR COUNTY HOSPITAL LTCU
Provider Address
810 W COLUMBIA ST
OBERLIN, KS 67749
OBERLIN, KS 67749
Provider Phone Number
(785) 475-2208
Provider SSA County
190
Provider County Name
Decatur
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
37
Number of Residents in Certified Beds
22
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
1974-03-31
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
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.45909
Reported LPN Staffing Hours per Resident per Day
1.10682
Reported RN Staffing Hours per Resident per Day
0.76818
Reported Licensed Staffing Hours per Resident per Day
1.87500
Reported Total Nurse Staffing Hours per Resident per Day
4.33409
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00682
Expected CNA Staffing Hours per Resident per Day
2.00607
Expected LPN Staffing Hours per Resident per Day
0.59267
Expected RN Staffing Hours per Resident per Day
0.72647
Expected Total Nurse Staffing Hours per Resident per Day
3.32520
Adjusted CNA Staffing Hours per Resident per Day
3.00781
Adjusted LPN Staffing Hours per Resident per Day
1.55005
Adjusted RN Staffing Hours per Resident per Day
0.79010
Adjusted Total Nurse Staffing Hours per Resident per Day
5.25390
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-03-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
83.33300
Number of Facility Reported Incidents
0
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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Nursiong Homes Nearby
Good Samaritan Society - Decatur County
108 E Ash St |
OBERLIN KS 67749 | 0.7 mile away