Medicalodges Kinsley - Kinsley Nursing Home
General Information
UPDATEFederal Provider Number
175275
Provider Name
MEDICALODGES KINSLEY
Provider Address
620 WINCHESTER AVE
KINSLEY, KS 67547
KINSLEY, KS 67547
Provider Phone Number
6206592156
Provider SSA County
230
Provider County Name
Edwards
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICALODGES INC
Date First Approved to Provide Medicare and Medicaid services
1994-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.78148
Reported LPN Staffing Hours per Resident per Day
0.06667
Reported RN Staffing Hours per Resident per Day
1.34630
Reported Licensed Staffing Hours per Resident per Day
1.41296
Reported Total Nurse Staffing Hours per Resident per Day
4.19445
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.43492
Expected LPN Staffing Hours per Resident per Day
0.58858
Expected RN Staffing Hours per Resident per Day
0.88038
Expected Total Nurse Staffing Hours per Resident per Day
3.90388
Adjusted CNA Staffing Hours per Resident per Day
2.80293
Adjusted LPN Staffing Hours per Resident per Day
0.09402
Adjusted RN Staffing Hours per Resident per Day
1.14264
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33092
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-23
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
6
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
68.00000
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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