Lincoln Park Manor Inc - Lincoln Nursing Home

General Information

UPDATE
Federal Provider Number
175419
Provider Name
LINCOLN PARK MANOR INC
Provider Address
922 N 5TH ST
LINCOLN, KS 67455
Provider Phone Number
7855244428
Provider SSA County
520
Provider County Name
Lincoln
Ownership Type
For profit - Corporation
Number of Certified Beds
36
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LINCOLN PARK MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-09-01
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
3
Health Inspection Rating Footnote
QM Rating
3
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
2.51471
Reported LPN Staffing Hours per Resident per Day
0.94412
Reported RN Staffing Hours per Resident per Day
0.68235
Reported Licensed Staffing Hours per Resident per Day
1.62647
Reported Total Nurse Staffing Hours per Resident per Day
4.14118
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00882
Expected CNA Staffing Hours per Resident per Day
2.15020
Expected LPN Staffing Hours per Resident per Day
0.57225
Expected RN Staffing Hours per Resident per Day
0.97121
Expected Total Nurse Staffing Hours per Resident per Day
3.69366
Adjusted CNA Staffing Hours per Resident per Day
2.86966
Adjusted LPN Staffing Hours per Resident per Day
1.36936
Adjusted RN Staffing Hours per Resident per Day
0.52497
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51928
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-23
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
50.66700
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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