Middlesboro Health Care Facility - Middlesboro Nursing Home
General Information
UPDATEFederal Provider Number
185240
Provider Name
MIDDLESBORO HEALTH CARE FACILITY
Provider Address
235 NEW WILSON LANE
MIDDLESBORO, KY 40965
MIDDLESBORO, KY 40965
Provider Phone Number
(606) 248-0925
Provider SSA County
60
Provider County Name
Bell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDDLESBORO MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
1991-01-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
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
2.99096
Reported LPN Staffing Hours per Resident per Day
0.59574
Reported RN Staffing Hours per Resident per Day
0.79787
Reported Licensed Staffing Hours per Resident per Day
1.39362
Reported Total Nurse Staffing Hours per Resident per Day
4.38457
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06064
Expected CNA Staffing Hours per Resident per Day
2.70562
Expected LPN Staffing Hours per Resident per Day
0.77250
Expected RN Staffing Hours per Resident per Day
1.23049
Expected Total Nurse Staffing Hours per Resident per Day
4.70861
Adjusted CNA Staffing Hours per Resident per Day
2.71247
Adjusted LPN Staffing Hours per Resident per Day
0.64009
Adjusted RN Staffing Hours per Resident per Day
0.48450
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75350
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-02-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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