Kentucky Nursing Homes >> Fordsville Nursing Homes >> Fordsville Nursing And Rehabilitation Center

Fordsville Nursing And Rehabilitation Center - Fordsville Nursing Home

General Information

UPDATE
Federal Provider Number
185354
Provider Name
FORDSVILLE NURSING AND REHABILITATION CENTER
Provider Address
313 MAIN STREET
FORDSVILLE, KY 42343
Provider Phone Number
2702763603
Provider SSA County
910
Provider County Name
Ohio
Ownership Type
For profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FORDSVILLE HEALTH FACILITIES LP
Date First Approved to Provide Medicare and Medicaid services
1992-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.88016
Reported LPN Staffing Hours per Resident per Day
1.07063
Reported RN Staffing Hours per Resident per Day
0.62540
Reported Licensed Staffing Hours per Resident per Day
1.69603
Reported Total Nurse Staffing Hours per Resident per Day
3.57619
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04048
Expected CNA Staffing Hours per Resident per Day
2.57149
Expected LPN Staffing Hours per Resident per Day
0.76295
Expected RN Staffing Hours per Resident per Day
1.28672
Expected Total Nurse Staffing Hours per Resident per Day
4.62116
Adjusted CNA Staffing Hours per Resident per Day
1.79404
Adjusted LPN Staffing Hours per Resident per Day
1.16472
Adjusted RN Staffing Hours per Resident per Day
0.36317
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11940
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
261
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
261
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
141.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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