Medicalodges Jackson County - Holton Nursing Home
General Information
UPDATEFederal Provider Number
175435
Provider Name
MEDICALODGES JACKSON COUNTY
Provider Address
1121 W 7TH ST
HOLTON, KS 66436
HOLTON, KS 66436
Provider Phone Number
7853643164
Provider SSA County
420
Provider County Name
Jackson
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICALODGES INC
Date First Approved to Provide Medicare and Medicaid services
2007-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16328
Reported LPN Staffing Hours per Resident per Day
0.57031
Reported RN Staffing Hours per Resident per Day
0.58281
Reported Licensed Staffing Hours per Resident per Day
1.15313
Reported Total Nurse Staffing Hours per Resident per Day
3.31640
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01328
Expected CNA Staffing Hours per Resident per Day
2.22658
Expected LPN Staffing Hours per Resident per Day
0.66061
Expected RN Staffing Hours per Resident per Day
0.96514
Expected Total Nurse Staffing Hours per Resident per Day
3.85233
Adjusted CNA Staffing Hours per Resident per Day
2.38394
Adjusted LPN Staffing Hours per Resident per Day
0.71655
Adjusted RN Staffing Hours per Resident per Day
0.45120
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47013
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-10-07
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
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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