Kansas Masonic Home - Wichita Nursing Home
General Information
UPDATEFederal Provider Number
175118
Provider Name
KANSAS MASONIC HOME
Provider Address
401 S SENECA ST
WICHITA, KS 67213
WICHITA, KS 67213
Provider Phone Number
(316) 269-7500
Provider SSA County
860
Provider County Name
Sedgwick
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KANSAS MASONIC HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1978-02-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.19392
Reported LPN Staffing Hours per Resident per Day
0.64324
Reported RN Staffing Hours per Resident per Day
1.09865
Reported Licensed Staffing Hours per Resident per Day
1.74189
Reported Total Nurse Staffing Hours per Resident per Day
4.93581
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09189
Expected CNA Staffing Hours per Resident per Day
2.44273
Expected LPN Staffing Hours per Resident per Day
0.70369
Expected RN Staffing Hours per Resident per Day
1.20690
Expected Total Nurse Staffing Hours per Resident per Day
4.35332
Adjusted CNA Staffing Hours per Resident per Day
3.20827
Adjusted LPN Staffing Hours per Resident per Day
0.75869
Adjusted RN Staffing Hours per Resident per Day
0.68018
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57025
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-11-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-07-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-04-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
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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