Klondike Center - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185333
Provider Name
KLONDIKE CENTER
Provider Address
3802 KLONDIKE LANE
LOUISVILLE, KY 40218
LOUISVILLE, KY 40218
Provider Phone Number
(502) 452-1579
Provider SSA County
550
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KLONDIKE MANOR, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19135
Reported LPN Staffing Hours per Resident per Day
1.21731
Reported RN Staffing Hours per Resident per Day
0.57500
Reported Licensed Staffing Hours per Resident per Day
1.79231
Reported Total Nurse Staffing Hours per Resident per Day
3.98366
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05962
Expected CNA Staffing Hours per Resident per Day
2.34184
Expected LPN Staffing Hours per Resident per Day
0.65814
Expected RN Staffing Hours per Resident per Day
1.09259
Expected Total Nurse Staffing Hours per Resident per Day
4.09258
Adjusted CNA Staffing Hours per Resident per Day
2.29602
Adjusted LPN Staffing Hours per Resident per Day
1.53518
Adjusted RN Staffing Hours per Resident per Day
0.39323
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92362
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
2014-05-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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