Medicalodges Fort Scott - Fort Scott Nursing Home
General Information
UPDATEFederal Provider Number
175258
Provider Name
MEDICALODGES FORT SCOTT
Provider Address
915 S HORTON PO BOX 510
FORT SCOTT, KS 66701
FORT SCOTT, KS 66701
Provider Phone Number
(620) 223-0210
Provider SSA County
50
Provider County Name
Bourbon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
54
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
1993-08-16
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.85833
Reported LPN Staffing Hours per Resident per Day
0.38241
Reported RN Staffing Hours per Resident per Day
0.74352
Reported Licensed Staffing Hours per Resident per Day
1.12593
Reported Total Nurse Staffing Hours per Resident per Day
3.98426
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02407
Expected CNA Staffing Hours per Resident per Day
2.48298
Expected LPN Staffing Hours per Resident per Day
0.59580
Expected RN Staffing Hours per Resident per Day
0.82335
Expected Total Nurse Staffing Hours per Resident per Day
3.90213
Adjusted CNA Staffing Hours per Resident per Day
2.82463
Adjusted LPN Staffing Hours per Resident per Day
0.53273
Adjusted RN Staffing Hours per Resident per Day
0.67475
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11574
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-01-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-09-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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Nursiong Homes Nearby
Fort Scott Manor
736 Heylman St |
FORT SCOTT KS 66701 | 0.3 mile away