Johnson Mathers Nursing Home - Carlisle Nursing Home
General Information
UPDATEFederal Provider Number
185028
Provider Name
JOHNSON MATHERS NURSING HOME
Provider Address
2323 CONCRETE ROAD
CARLISLE, KY 40311
CARLISLE, KY 40311
Provider Phone Number
8592893492
Provider SSA County
900
Provider County Name
Nicholas
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THAMES HEALTHCARE GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-12
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
3
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
2.48010
Reported LPN Staffing Hours per Resident per Day
0.99949
Reported RN Staffing Hours per Resident per Day
0.42908
Reported Licensed Staffing Hours per Resident per Day
1.42857
Reported Total Nurse Staffing Hours per Resident per Day
3.90867
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07653
Expected CNA Staffing Hours per Resident per Day
2.59316
Expected LPN Staffing Hours per Resident per Day
0.62993
Expected RN Staffing Hours per Resident per Day
0.93948
Expected Total Nurse Staffing Hours per Resident per Day
4.16256
Adjusted CNA Staffing Hours per Resident per Day
2.34672
Adjusted LPN Staffing Hours per Resident per Day
1.31694
Adjusted RN Staffing Hours per Resident per Day
0.34126
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78504
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-02
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
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
30225
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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