Hill Top House - Bucklin Nursing Home
General Information
UPDATEFederal Provider Number
175500
Provider Name
HILL TOP HOUSE
Provider Address
505 W ELM PO BOX 248
BUCKLIN, KS 67834
BUCKLIN, KS 67834
Provider Phone Number
(620) 826-3202
Provider SSA County
280
Provider County Name
Ford
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
32
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BUCKLIN DISTRICT HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2008-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.72759
Reported LPN Staffing Hours per Resident per Day
0.18448
Reported RN Staffing Hours per Resident per Day
1.22414
Reported Licensed Staffing Hours per Resident per Day
1.40862
Reported Total Nurse Staffing Hours per Resident per Day
4.13621
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00517
Expected CNA Staffing Hours per Resident per Day
2.49483
Expected LPN Staffing Hours per Resident per Day
0.55372
Expected RN Staffing Hours per Resident per Day
0.80104
Expected Total Nurse Staffing Hours per Resident per Day
3.84959
Adjusted CNA Staffing Hours per Resident per Day
2.68263
Adjusted LPN Staffing Hours per Resident per Day
0.27653
Adjusted RN Staffing Hours per Resident per Day
1.14186
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33102
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-04-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
2
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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