Derby Health & Rehabilitation Llc - Derby Nursing Home
General Information
UPDATEFederal Provider Number
175514
Provider Name
DERBY HEALTH & REHABILITATION LLC
Provider Address
731 KLEIN CIRCLE
DERBY, KS 67037
DERBY, KS 67037
Provider Phone Number
(316) 719-2400
Provider SSA County
860
Provider County Name
Sedgwick
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DERBY HEALTH & REHABILITATION
Date First Approved to Provide Medicare and Medicaid services
2010-02-16
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
3.26364
Reported LPN Staffing Hours per Resident per Day
0.71667
Reported RN Staffing Hours per Resident per Day
1.33182
Reported Licensed Staffing Hours per Resident per Day
2.04848
Reported Total Nurse Staffing Hours per Resident per Day
5.31213
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17348
Expected CNA Staffing Hours per Resident per Day
2.47799
Expected LPN Staffing Hours per Resident per Day
0.67856
Expected RN Staffing Hours per Resident per Day
1.15766
Expected Total Nurse Staffing Hours per Resident per Day
4.31421
Adjusted CNA Staffing Hours per Resident per Day
3.23165
Adjusted LPN Staffing Hours per Resident per Day
0.87661
Adjusted RN Staffing Hours per Resident per Day
0.85961
Adjusted Total Nurse Staffing Hours per Resident per Day
4.96328
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
160
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
160
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
71.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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