Haws Memorial Nursing & Rehab Center - Fulton Nursing Home
General Information
UPDATEFederal Provider Number
185047
Provider Name
HAWS MEMORIAL NURSING & REHAB CENTER
Provider Address
1004 HOLIDAY LANE
FULTON, KY 42041
FULTON, KY 42041
Provider Phone Number
(270) 472-1971
Provider SSA County
361
Provider County Name
Fulton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FULTON INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-03-16
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
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.74727
Reported LPN Staffing Hours per Resident per Day
0.89727
Reported RN Staffing Hours per Resident per Day
0.57545
Reported Licensed Staffing Hours per Resident per Day
1.47273
Reported Total Nurse Staffing Hours per Resident per Day
4.21999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01182
Expected CNA Staffing Hours per Resident per Day
2.32406
Expected LPN Staffing Hours per Resident per Day
0.71255
Expected RN Staffing Hours per Resident per Day
1.14041
Expected Total Nurse Staffing Hours per Resident per Day
4.17702
Adjusted CNA Staffing Hours per Resident per Day
2.90052
Adjusted LPN Staffing Hours per Resident per Day
1.04516
Adjusted RN Staffing Hours per Resident per Day
0.37704
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07237
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
369
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
369
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
206.50000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
137345
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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