Masonic Home Of Shelbyville - Shelbyville Nursing Home
General Information
UPDATEFederal Provider Number
185378
Provider Name
MASONIC HOME OF SHELBYVILLE
Provider Address
711 FRANKFORT ROAD
SHELBYVILLE, KY 40066
SHELBYVILLE, KY 40066
Provider Phone Number
5026333486
Provider SSA County
978
Provider County Name
Shelby
Ownership Type
Non profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1993-04-28
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.67802
Reported LPN Staffing Hours per Resident per Day
0.75659
Reported RN Staffing Hours per Resident per Day
0.98242
Reported Licensed Staffing Hours per Resident per Day
1.73901
Reported Total Nurse Staffing Hours per Resident per Day
5.41703
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13242
Expected CNA Staffing Hours per Resident per Day
2.65213
Expected LPN Staffing Hours per Resident per Day
0.66846
Expected RN Staffing Hours per Resident per Day
1.10529
Expected Total Nurse Staffing Hours per Resident per Day
4.42588
Adjusted CNA Staffing Hours per Resident per Day
3.40283
Adjusted LPN Staffing Hours per Resident per Day
0.93943
Adjusted RN Staffing Hours per Resident per Day
0.66414
Adjusted Total Nurse Staffing Hours per Resident per Day
4.93359
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-03
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
20.00000
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
Nursiong Homes Nearby
Crestview Center
1871 Midland Trail |
SHELBYVILLE KY 40065 | 3.1 miles away
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