Gove County Medical Center Ltcu - Quinter Nursing Home
General Information
UPDATEFederal Provider Number
170000000000000000000000000000
Provider Name
GOVE COUNTY MEDICAL CENTER LTCU
Provider Address
PO BOX 129
QUINTER, KS 67752
QUINTER, KS 67752
Provider Phone Number
7857543335
Provider SSA County
310
Provider County Name
Gove
Ownership Type
Government - County
Number of Certified Beds
43
Number of Residents in Certified Beds
34
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.67206
Reported LPN Staffing Hours per Resident per Day
0.97500
Reported RN Staffing Hours per Resident per Day
0.84118
Reported Licensed Staffing Hours per Resident per Day
1.81618
Reported Total Nurse Staffing Hours per Resident per Day
4.48824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00588
Expected CNA Staffing Hours per Resident per Day
2.34467
Expected LPN Staffing Hours per Resident per Day
0.56493
Expected RN Staffing Hours per Resident per Day
0.77294
Expected Total Nurse Staffing Hours per Resident per Day
3.68254
Adjusted CNA Staffing Hours per Resident per Day
2.79632
Adjusted LPN Staffing Hours per Resident per Day
1.43248
Adjusted RN Staffing Hours per Resident per Day
0.81317
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91282
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-08-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-09-16
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
60
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
116.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
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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