Katherine's Place At Wedington - Fayetteville Nursing Home
General Information
UPDATEFederal Provider Number
45434
Provider Name
KATHERINE'S PLACE AT WEDINGTON
Provider Address
4405 WEST PERSIMMON STREET
FAYETTEVILLE, AR 72704
FAYETTEVILLE, AR 72704
Provider Phone Number
(479) 444-6108
Provider SSA County
710
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WCNC, INC.
Date First Approved to Provide Medicare and Medicaid services
2010-08-19
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35928
Reported LPN Staffing Hours per Resident per Day
0.97732
Reported RN Staffing Hours per Resident per Day
0.38454
Reported Licensed Staffing Hours per Resident per Day
1.36186
Reported Total Nurse Staffing Hours per Resident per Day
3.72114
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00979
Expected CNA Staffing Hours per Resident per Day
2.33592
Expected LPN Staffing Hours per Resident per Day
0.63303
Expected RN Staffing Hours per Resident per Day
1.01984
Expected Total Nurse Staffing Hours per Resident per Day
3.98879
Adjusted CNA Staffing Hours per Resident per Day
2.47824
Adjusted LPN Staffing Hours per Resident per Day
1.28141
Adjusted RN Staffing Hours per Resident per Day
0.28174
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76042
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-27
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
11
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
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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