Memorial Hospital Ltcu (village Manor) - Abilene Nursing Home
General Information
UPDATEFederal Provider Number
175244
Provider Name
MEMORIAL HOSPITAL LTCU (VILLAGE MANOR)
Provider Address
705 N BRADY ST
ABILENE, KS 67410
ABILENE, KS 67410
Provider Phone Number
(785) 263-1431
Provider SSA County
200
Provider County Name
Dickinson
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
81
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HOSPITAL DISTRICT NO 1 OF DICKINSON COUNTY KANSAS
Date First Approved to Provide Medicare and Medicaid services
1993-04-01
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.11824
Reported LPN Staffing Hours per Resident per Day
0.42568
Reported RN Staffing Hours per Resident per Day
0.46486
Reported Licensed Staffing Hours per Resident per Day
0.89054
Reported Total Nurse Staffing Hours per Resident per Day
4.00878
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02230
Expected CNA Staffing Hours per Resident per Day
2.29686
Expected LPN Staffing Hours per Resident per Day
0.59792
Expected RN Staffing Hours per Resident per Day
0.79301
Expected Total Nurse Staffing Hours per Resident per Day
3.68780
Adjusted CNA Staffing Hours per Resident per Day
3.33116
Adjusted LPN Staffing Hours per Resident per Day
0.59091
Adjusted RN Staffing Hours per Resident per Day
0.43801
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38175
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-02-20
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
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-01-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-12-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
65.33300
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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