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Medicalodges Leavenworth - Leavenworth Nursing Home

General Information

UPDATE
Federal Provider Number
175162
Provider Name
MEDICALODGES LEAVENWORTH
Provider Address
1503 OHIO ST
LEAVENWORTH, KS 66048
Provider Phone Number
9137721844
Provider SSA County
510
Provider County Name
Leavenworth
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICALODGES INC
Date First Approved to Provide Medicare and Medicaid services
1987-02-04
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.03070
Reported LPN Staffing Hours per Resident per Day
0.80877
Reported RN Staffing Hours per Resident per Day
0.52895
Reported Licensed Staffing Hours per Resident per Day
1.33772
Reported Total Nurse Staffing Hours per Resident per Day
3.36842
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00877
Expected CNA Staffing Hours per Resident per Day
2.04022
Expected LPN Staffing Hours per Resident per Day
0.54481
Expected RN Staffing Hours per Resident per Day
0.85712
Expected Total Nurse Staffing Hours per Resident per Day
3.44215
Adjusted CNA Staffing Hours per Resident per Day
2.44225
Adjusted LPN Staffing Hours per Resident per Day
1.23214
Adjusted RN Staffing Hours per Resident per Day
0.46111
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94456
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
64
Cycle 1 Total Health Score
192
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-03-20
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
58
Cycle 2 Total Health Score
58
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2011-12-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
162.66700
Number of Facility Reported Incidents
1
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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