Leisure Homestead At Stafford - Stafford Nursing Home
General Information
UPDATEFederal Provider Number
175530
Provider Name
LEISURE HOMESTEAD AT STAFFORD
Provider Address
405 GRAND AVE
STAFFORD, KS 67578
STAFFORD, KS 67578
Provider Phone Number
(620) 234-5208
Provider SSA County
920
Provider County Name
Stafford
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEISURE HOMESTEAD ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
2012-07-16
Continuing Care Retirement Community
Y
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.66061
Reported LPN Staffing Hours per Resident per Day
0.52424
Reported RN Staffing Hours per Resident per Day
0.53636
Reported Licensed Staffing Hours per Resident per Day
1.06061
Reported Total Nurse Staffing Hours per Resident per Day
4.72121
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01515
Expected CNA Staffing Hours per Resident per Day
2.38528
Expected LPN Staffing Hours per Resident per Day
0.57975
Expected RN Staffing Hours per Resident per Day
0.80564
Expected Total Nurse Staffing Hours per Resident per Day
3.77067
Adjusted CNA Staffing Hours per Resident per Day
3.76561
Adjusted LPN Staffing Hours per Resident per Day
0.75053
Adjusted RN Staffing Hours per Resident per Day
0.49745
Adjusted Total Nurse Staffing Hours per Resident per Day
5.04704
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
70
Cycle 1 Total Health Score
210
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
36
Cycle 3 Standard Health Survey Date
2012-04-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
113.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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