Minneola District Hospital Ltcu - Minneola Nursing Home
General Information
UPDATEFederal Provider Number
17E470
Provider Name
MINNEOLA DISTRICT HOSPITAL LTCU
Provider Address
207 CHESTNUT PO BOX 10
MINNEOLA, KS 67865
MINNEOLA, KS 67865
Provider Phone Number
(620) 885-4238
Provider SSA County
120
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
36
Number of Residents in Certified Beds
32
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1977-01-26
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
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.07500
Reported LPN Staffing Hours per Resident per Day
0.75625
Reported RN Staffing Hours per Resident per Day
0.69688
Reported Licensed Staffing Hours per Resident per Day
1.45313
Reported Total Nurse Staffing Hours per Resident per Day
5.52813
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.27334
Expected LPN Staffing Hours per Resident per Day
0.66100
Expected RN Staffing Hours per Resident per Day
0.91979
Expected Total Nurse Staffing Hours per Resident per Day
3.85413
Adjusted CNA Staffing Hours per Resident per Day
4.39829
Adjusted LPN Staffing Hours per Resident per Day
0.94961
Adjusted RN Staffing Hours per Resident per Day
0.56612
Adjusted Total Nurse Staffing Hours per Resident per Day
5.78168
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-02-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2012-10-30
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
59.33300
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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