Eastridge - Centralia Nursing Home
General Information
UPDATEFederal Provider Number
175374
Provider Name
EASTRIDGE
Provider Address
1ST & MAIN RR 1
CENTRALIA, KS 66415
CENTRALIA, KS 66415
Provider Phone Number
(785) 857-3388
Provider SSA County
650
Provider County Name
Nemaha
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY HEALTHCARE SYSTEM INC
Date First Approved to Provide Medicare and Medicaid services
1996-06-30
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.76923
Reported LPN Staffing Hours per Resident per Day
0.58462
Reported RN Staffing Hours per Resident per Day
0.83462
Reported Licensed Staffing Hours per Resident per Day
1.41923
Reported Total Nurse Staffing Hours per Resident per Day
5.18847
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01154
Expected CNA Staffing Hours per Resident per Day
2.13295
Expected LPN Staffing Hours per Resident per Day
0.54992
Expected RN Staffing Hours per Resident per Day
0.85281
Expected Total Nurse Staffing Hours per Resident per Day
3.53567
Adjusted CNA Staffing Hours per Resident per Day
4.33605
Adjusted LPN Staffing Hours per Resident per Day
0.88237
Adjusted RN Staffing Hours per Resident per Day
0.73127
Adjusted Total Nurse Staffing Hours per Resident per Day
5.91520
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
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
8
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
42.66700
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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