Diversicare Of Nicholasville - Nicholasville Nursing Home
General Information
UPDATEFederal Provider Number
185220
Provider Name
DIVERSICARE OF NICHOLASVILLE
Provider Address
100 SPARKS AVENUE
NICHOLASVILLE, KY 40356
NICHOLASVILLE, KY 40356
Provider Phone Number
(859) 885-4171
Provider SSA County
560
Provider County Name
Jessamine
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
73
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE OF NICHOLASVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1990-11-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.52596
Reported LPN Staffing Hours per Resident per Day
0.85769
Reported RN Staffing Hours per Resident per Day
0.95000
Reported Licensed Staffing Hours per Resident per Day
1.80769
Reported Total Nurse Staffing Hours per Resident per Day
5.33365
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06731
Expected CNA Staffing Hours per Resident per Day
2.57358
Expected LPN Staffing Hours per Resident per Day
0.68983
Expected RN Staffing Hours per Resident per Day
1.10304
Expected Total Nurse Staffing Hours per Resident per Day
4.36646
Adjusted CNA Staffing Hours per Resident per Day
3.36172
Adjusted LPN Staffing Hours per Resident per Day
1.03196
Adjusted RN Staffing Hours per Resident per Day
0.64353
Adjusted Total Nurse Staffing Hours per Resident per Day
4.92377
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
595
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
595
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
304.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
891350
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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