Florence Park Care Center - Florence Nursing Home
General Information
UPDATEFederal Provider Number
185174
Provider Name
FLORENCE PARK CARE CENTER
Provider Address
6975 BURLINGTON PIKE
FLORENCE, KY 41042
FLORENCE, KY 41042
Provider Phone Number
(859) 525-0007
Provider SSA County
70
Provider County Name
Boone
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVAN GRAY, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-06-25
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.54222
Reported LPN Staffing Hours per Resident per Day
1.26667
Reported RN Staffing Hours per Resident per Day
0.60296
Reported Licensed Staffing Hours per Resident per Day
1.86963
Reported Total Nurse Staffing Hours per Resident per Day
4.41185
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02111
Expected CNA Staffing Hours per Resident per Day
2.58016
Expected LPN Staffing Hours per Resident per Day
0.72098
Expected RN Staffing Hours per Resident per Day
1.17434
Expected Total Nurse Staffing Hours per Resident per Day
4.47548
Adjusted CNA Staffing Hours per Resident per Day
2.41762
Adjusted LPN Staffing Hours per Resident per Day
1.45820
Adjusted RN Staffing Hours per Resident per Day
0.38365
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97359
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2013-02-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
91.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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