Episcopal Church Home - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185310
Provider Name
EPISCOPAL CHURCH HOME
Provider Address
7504 WESTPORT ROAD
LOUISVILLE, KY 40222
LOUISVILLE, KY 40222
Provider Phone Number
(502) 736-7800
Provider SSA County
550
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
139
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRUSTEES OF THE CHURCH HOME AND INFIRMARY
Date First Approved to Provide Medicare and Medicaid services
1991-10-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
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
3.40446
Reported LPN Staffing Hours per Resident per Day
1.22098
Reported RN Staffing Hours per Resident per Day
1.16830
Reported Licensed Staffing Hours per Resident per Day
2.38929
Reported Total Nurse Staffing Hours per Resident per Day
5.79374
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10089
Expected CNA Staffing Hours per Resident per Day
2.45695
Expected LPN Staffing Hours per Resident per Day
0.61824
Expected RN Staffing Hours per Resident per Day
1.00213
Expected Total Nurse Staffing Hours per Resident per Day
4.07732
Adjusted CNA Staffing Hours per Resident per Day
3.39996
Adjusted LPN Staffing Hours per Resident per Day
1.63919
Adjusted RN Staffing Hours per Resident per Day
0.87109
Adjusted Total Nurse Staffing Hours per Resident per Day
5.72778
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
12
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
22.66700
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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