Green Valley Health & Rehabilitation Center - Carrollton Nursing Home
General Information
UPDATEFederal Provider Number
185205
Provider Name
GREEN VALLEY HEALTH & REHABILITATION CENTER
Provider Address
1206 ELEVENTH STREET
CARROLLTON, KY 41045
CARROLLTON, KY 41045
Provider Phone Number
5027326683
Provider SSA County
191
Provider County Name
Carroll
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEW GREEN VALLEY HEALTH & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-02-05
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.31689
Reported LPN Staffing Hours per Resident per Day
0.85811
Reported RN Staffing Hours per Resident per Day
1.05000
Reported Licensed Staffing Hours per Resident per Day
1.90811
Reported Total Nurse Staffing Hours per Resident per Day
4.22500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03851
Expected CNA Staffing Hours per Resident per Day
2.54493
Expected LPN Staffing Hours per Resident per Day
0.66221
Expected RN Staffing Hours per Resident per Day
1.01326
Expected Total Nurse Staffing Hours per Resident per Day
4.22040
Adjusted CNA Staffing Hours per Resident per Day
2.23383
Adjusted LPN Staffing Hours per Resident per Day
1.07553
Adjusted RN Staffing Hours per Resident per Day
0.77429
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03529
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
28
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
83
Cycle 2 Standard Health Survey Date
2013-09-26
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
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
47.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
17453
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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