Medicalodges Goddard - Goddard Nursing Home

General Information

UPDATE
Federal Provider Number
175294
Provider Name
MEDICALODGES GODDARD
Provider Address
501 EASY ST
GODDARD, KS 67052
Provider Phone Number
3167948635
Provider SSA County
860
Provider County Name
Sedgwick
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICALODGES INC
Date First Approved to Provide Medicare and Medicaid services
1994-06-01
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.81574
Reported LPN Staffing Hours per Resident per Day
0.41944
Reported RN Staffing Hours per Resident per Day
0.89537
Reported Licensed Staffing Hours per Resident per Day
1.31481
Reported Total Nurse Staffing Hours per Resident per Day
4.13055
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01204
Expected CNA Staffing Hours per Resident per Day
2.30387
Expected LPN Staffing Hours per Resident per Day
0.62012
Expected RN Staffing Hours per Resident per Day
0.91431
Expected Total Nurse Staffing Hours per Resident per Day
3.83830
Adjusted CNA Staffing Hours per Resident per Day
2.99886
Adjusted LPN Staffing Hours per Resident per Day
0.56140
Adjusted RN Staffing Hours per Resident per Day
0.73172
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33782
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
16
Cycle 2 Standard Health Survey Date
2013-02-11
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
34.66700
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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