Knott County Health & Rehabilitation Center - Hindman Nursing Home
General Information
UPDATEFederal Provider Number
185150
Provider Name
KNOTT COUNTY HEALTH & REHABILITATION CENTER
Provider Address
388 PERKINS MADDEN ROAD
HINDMAN, KY 41822
HINDMAN, KY 41822
Provider Phone Number
6067855011
Provider SSA County
590
Provider County Name
Knott
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KNOTT COUNTY NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1978-06-22
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
2.72826
Reported LPN Staffing Hours per Resident per Day
0.79076
Reported RN Staffing Hours per Resident per Day
0.42391
Reported Licensed Staffing Hours per Resident per Day
1.21467
Reported Total Nurse Staffing Hours per Resident per Day
3.94293
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09076
Expected CNA Staffing Hours per Resident per Day
2.46374
Expected LPN Staffing Hours per Resident per Day
0.74789
Expected RN Staffing Hours per Resident per Day
1.25098
Expected Total Nurse Staffing Hours per Resident per Day
4.46260
Adjusted CNA Staffing Hours per Resident per Day
2.71715
Adjusted LPN Staffing Hours per Resident per Day
0.87758
Adjusted RN Staffing Hours per Resident per Day
0.25320
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56150
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
2014-12-11
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
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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