Grayson Manor Nursing Home - Leitchfield Nursing Home
General Information
UPDATEFederal Provider Number
185177
Provider Name
GRAYSON MANOR NURSING HOME
Provider Address
505 WILLIAM THOMASON BYWAY
LEITCHFIELD, KY 42754
LEITCHFIELD, KY 42754
Provider Phone Number
(270) 259-4028
Provider SSA County
420
Provider County Name
Grayson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAYSON HOUSING INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1985-04-19
Continuing Care Retirement Community
N
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.71544
Reported LPN Staffing Hours per Resident per Day
0.76397
Reported RN Staffing Hours per Resident per Day
0.58971
Reported Licensed Staffing Hours per Resident per Day
1.35368
Reported Total Nurse Staffing Hours per Resident per Day
4.06912
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03456
Expected CNA Staffing Hours per Resident per Day
2.82841
Expected LPN Staffing Hours per Resident per Day
0.70190
Expected RN Staffing Hours per Resident per Day
1.02123
Expected Total Nurse Staffing Hours per Resident per Day
4.55153
Adjusted CNA Staffing Hours per Resident per Day
2.35570
Adjusted LPN Staffing Hours per Resident per Day
0.90340
Adjusted RN Staffing Hours per Resident per Day
0.43147
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60367
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
231
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
116
Cycle 1 Total Health Score
347
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
236
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
236
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
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
254.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
6
Total Amount of Fines in Dollars
154850
Number of Payment Denials
2
Total Number of Penalties
8
Location
Processing Date
2015-06-01
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Spring View Health & Rehab Center, Inc
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LEITCHFIELD KY 42754 | 0.6 mile away