Good Shepherd Community Nursing Center - Phelps Nursing Home
General Information
UPDATEFederal Provider Number
185222
Provider Name
GOOD SHEPHERD COMMUNITY NURSING CENTER
Provider Address
60 PHILLIPS BRANCH ROAD
PHELPS, KY 41553
PHELPS, KY 41553
Provider Phone Number
(606) 456-8725
Provider SSA County
970
Provider County Name
Pike
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-12-27
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.19451
Reported LPN Staffing Hours per Resident per Day
0.92637
Reported RN Staffing Hours per Resident per Day
0.76593
Reported Licensed Staffing Hours per Resident per Day
1.69231
Reported Total Nurse Staffing Hours per Resident per Day
4.88681
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05879
Expected CNA Staffing Hours per Resident per Day
2.78178
Expected LPN Staffing Hours per Resident per Day
0.77549
Expected RN Staffing Hours per Resident per Day
1.07224
Expected Total Nurse Staffing Hours per Resident per Day
4.62950
Adjusted CNA Staffing Hours per Resident per Day
2.81776
Adjusted LPN Staffing Hours per Resident per Day
0.99149
Adjusted RN Staffing Hours per Resident per Day
0.53374
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25494
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-03
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-25
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
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
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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