Manor Of The Plains - Dodge City Nursing Home
General Information
UPDATEFederal Provider Number
175306
Provider Name
MANOR OF THE PLAINS
Provider Address
200 CAMPUS DR
DODGE CITY, KS 67801
DODGE CITY, KS 67801
Provider Phone Number
(620) 225-1928
Provider SSA County
280
Provider County Name
Ford
Provider Website
Provider Description
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
PRESBYTERIAN MANORS INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
2.93864
Reported LPN Staffing Hours per Resident per Day
0.49659
Reported RN Staffing Hours per Resident per Day
1.08068
Reported Licensed Staffing Hours per Resident per Day
1.57727
Reported Total Nurse Staffing Hours per Resident per Day
4.51591
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12955
Expected CNA Staffing Hours per Resident per Day
2.42798
Expected LPN Staffing Hours per Resident per Day
0.56143
Expected RN Staffing Hours per Resident per Day
0.88841
Expected Total Nurse Staffing Hours per Resident per Day
3.87781
Adjusted CNA Staffing Hours per Resident per Day
2.96977
Adjusted LPN Staffing Hours per Resident per Day
0.73415
Adjusted RN Staffing Hours per Resident per Day
0.90891
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69419
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-08-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
58.66700
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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