Jefferson Place Health & Rehabilitation Center - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185349
Provider Name
JEFFERSON PLACE HEALTH & REHABILITATION CENTER
Provider Address
1705 HERR LANE
LOUISVILLE, KY 40222
LOUISVILLE, KY 40222
Provider Phone Number
(502) 426-5600
Provider SSA County
550
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
87
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
NEW JEFFERSON PLACE, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-05-18
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
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
2.63391
Reported LPN Staffing Hours per Resident per Day
1.13161
Reported RN Staffing Hours per Resident per Day
1.15115
Reported Licensed Staffing Hours per Resident per Day
2.28276
Reported Total Nurse Staffing Hours per Resident per Day
4.91667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19713
Expected CNA Staffing Hours per Resident per Day
2.50154
Expected LPN Staffing Hours per Resident per Day
0.65786
Expected RN Staffing Hours per Resident per Day
1.19281
Expected Total Nurse Staffing Hours per Resident per Day
4.35221
Adjusted CNA Staffing Hours per Resident per Day
2.58353
Adjusted LPN Staffing Hours per Resident per Day
1.42771
Adjusted RN Staffing Hours per Resident per Day
0.72111
Adjusted Total Nurse Staffing Hours per Resident per Day
4.55368
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-07-19
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
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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