Locust Grove Village - La Crosse Nursing Home

General Information

UPDATE
Federal Provider Number
175369
Provider Name
LOCUST GROVE VILLAGE
Provider Address
701 W 6TH ST
LA CROSSE, KS 67548
Provider Phone Number
7852222574
Provider SSA County
820
Provider County Name
Rush
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RUSH COUNTY NURSING HOME SOCIETY
Date First Approved to Provide Medicare and Medicaid services
1996-06-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.28636
Reported LPN Staffing Hours per Resident per Day
0.50455
Reported RN Staffing Hours per Resident per Day
0.89432
Reported Licensed Staffing Hours per Resident per Day
1.39886
Reported Total Nurse Staffing Hours per Resident per Day
3.68523
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01591
Expected CNA Staffing Hours per Resident per Day
2.14910
Expected LPN Staffing Hours per Resident per Day
0.60861
Expected RN Staffing Hours per Resident per Day
0.87138
Expected Total Nurse Staffing Hours per Resident per Day
3.62909
Adjusted CNA Staffing Hours per Resident per Day
2.61042
Adjusted LPN Staffing Hours per Resident per Day
0.68808
Adjusted RN Staffing Hours per Resident per Day
0.76687
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09326
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-03-05
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-11-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
45.33300
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

Nursiong Homes Nearby

Rush County Memorial Hospital Ltcu

801 Locust | LA CROSSE KS 67548 | 0.7 mile away

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