Greeley County Hospital Ltcu - Tribune Nursing Home
General Information
UPDATEFederal Provider Number
170000000000000000000000000000
Provider Name
GREELEY COUNTY HOSPITAL LTCU
Provider Address
506 3RD ST PO BOX 338
TRIBUNE, KS 67879
TRIBUNE, KS 67879
Provider Phone Number
6203764221
Provider SSA County
350
Provider County Name
Greeley
Ownership Type
Non profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
29
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
1977-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
3.35517
Reported LPN Staffing Hours per Resident per Day
0.50517
Reported RN Staffing Hours per Resident per Day
0.57241
Reported Licensed Staffing Hours per Resident per Day
1.07759
Reported Total Nurse Staffing Hours per Resident per Day
4.43275
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09828
Expected CNA Staffing Hours per Resident per Day
1.98096
Expected LPN Staffing Hours per Resident per Day
0.49667
Expected RN Staffing Hours per Resident per Day
0.61991
Expected Total Nurse Staffing Hours per Resident per Day
3.09754
Adjusted CNA Staffing Hours per Resident per Day
4.15584
Adjusted LPN Staffing Hours per Resident per Day
0.84421
Adjusted RN Staffing Hours per Resident per Day
0.68994
Adjusted Total Nurse Staffing Hours per Resident per Day
5.76843
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-09-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-07-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
84.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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