Magnolia Village - Bowling Green Nursing Home

General Information

UPDATE
Federal Provider Number
185435
Provider Name
MAGNOLIA VILLAGE
Provider Address
1381 CAMPBELL LANE
BOWLING GREEN, KY 42104
Provider Phone Number
(270) 843-0587
Provider SSA County
986
Provider County Name
Warren
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HBR CAMPBELL LANE, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-06-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
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
3
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
2.10089
Reported LPN Staffing Hours per Resident per Day
0.69375
Reported RN Staffing Hours per Resident per Day
0.85625
Reported Licensed Staffing Hours per Resident per Day
1.55000
Reported Total Nurse Staffing Hours per Resident per Day
3.65089
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04375
Expected CNA Staffing Hours per Resident per Day
2.58311
Expected LPN Staffing Hours per Resident per Day
0.60510
Expected RN Staffing Hours per Resident per Day
1.07321
Expected Total Nurse Staffing Hours per Resident per Day
4.26142
Adjusted CNA Staffing Hours per Resident per Day
1.99564
Adjusted LPN Staffing Hours per Resident per Day
0.95160
Adjusted RN Staffing Hours per Resident per Day
0.59614
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45339
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
2013-09-19
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
16.00000
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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