Diversicare Of Sedgwick - Sedgwick Nursing Home

General Information

UPDATE
Federal Provider Number
175254
Provider Name
DIVERSICARE OF SEDGWICK
Provider Address
712 N MONROE AVE BOX 49
SEDGWICK, KS 67135
Provider Phone Number
3167725185
Provider SSA County
390
Provider County Name
Harvey
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSICARE OF SEDGWICK LLC
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.41182
Reported LPN Staffing Hours per Resident per Day
0.60091
Reported RN Staffing Hours per Resident per Day
0.65091
Reported Licensed Staffing Hours per Resident per Day
1.25182
Reported Total Nurse Staffing Hours per Resident per Day
3.66364
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10545
Expected CNA Staffing Hours per Resident per Day
2.40322
Expected LPN Staffing Hours per Resident per Day
0.60816
Expected RN Staffing Hours per Resident per Day
0.96113
Expected Total Nurse Staffing Hours per Resident per Day
3.97251
Adjusted CNA Staffing Hours per Resident per Day
2.46248
Adjusted LPN Staffing Hours per Resident per Day
0.82011
Adjusted RN Staffing Hours per Resident per Day
0.50603
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71749
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
60
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-05-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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