Hamilton County Hospital Ltcu - Syracuse Nursing Home
General Information
UPDATEFederal Provider Number
17A001
Provider Name
HAMILTON COUNTY HOSPITAL LTCU
Provider Address
700 NORTH HUSER ST
SYRACUSE, KS 67878
SYRACUSE, KS 67878
Provider Phone Number
(620) 384-7461
Provider SSA County
370
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
44
Number of Residents in Certified Beds
24
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
Both
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
3
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
3.70000
Reported LPN Staffing Hours per Resident per Day
0.21458
Reported RN Staffing Hours per Resident per Day
0.69167
Reported Licensed Staffing Hours per Resident per Day
0.90625
Reported Total Nurse Staffing Hours per Resident per Day
4.60625
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02292
Expected CNA Staffing Hours per Resident per Day
2.01652
Expected LPN Staffing Hours per Resident per Day
0.52652
Expected RN Staffing Hours per Resident per Day
0.71283
Expected Total Nurse Staffing Hours per Resident per Day
3.25587
Adjusted CNA Staffing Hours per Resident per Day
4.50215
Adjusted LPN Staffing Hours per Resident per Day
0.33826
Adjusted RN Staffing Hours per Resident per Day
0.72502
Adjusted Total Nurse Staffing Hours per Resident per Day
5.70273
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-04-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-01-21
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
56
Cycle 2 Total Health Score
168
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2011-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
94.66700
Number of Facility Reported Incidents
1
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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