Logan County Manor - Ltcu - Oakley Nursing Home
General Information
UPDATEFederal Provider Number
17E613
Provider Name
LOGAN COUNTY MANOR - LTCU
Provider Address
615 PRICE AVE
OAKLEY, KS 67748
OAKLEY, KS 67748
Provider Phone Number
(785) 672-8109
Provider SSA County
540
Provider County Name
Logan
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
45
Number of Residents in Certified Beds
32
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2001-08-24
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
3
Health Inspection Rating Footnote
QM Rating
1
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
3.05938
Reported LPN Staffing Hours per Resident per Day
0.37344
Reported RN Staffing Hours per Resident per Day
0.60313
Reported Licensed Staffing Hours per Resident per Day
0.97656
Reported Total Nurse Staffing Hours per Resident per Day
4.03595
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00938
Expected CNA Staffing Hours per Resident per Day
2.04326
Expected LPN Staffing Hours per Resident per Day
0.59500
Expected RN Staffing Hours per Resident per Day
0.83612
Expected Total Nurse Staffing Hours per Resident per Day
3.47437
Adjusted CNA Staffing Hours per Resident per Day
3.67394
Adjusted LPN Staffing Hours per Resident per Day
0.52094
Adjusted RN Staffing Hours per Resident per Day
0.53899
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68244
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-10-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
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
52
Cycle 3 Standard Health Survey Date
2012-08-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
70.00000
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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