Mitchell County Hospital Health Systems Ltcu - Beloit Nursing Home
General Information
UPDATEFederal Provider Number
175505
Provider Name
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU
Provider Address
400 W 8TH ST
BELOIT, KS 67420
BELOIT, KS 67420
Provider Phone Number
7857389590
Provider SSA County
610
Provider County Name
Mitchell
Ownership Type
Government - County
Number of Certified Beds
40
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS
Date First Approved to Provide Medicare and Medicaid services
2008-09-01
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
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
3.14167
Reported LPN Staffing Hours per Resident per Day
0.71806
Reported RN Staffing Hours per Resident per Day
0.53750
Reported Licensed Staffing Hours per Resident per Day
1.25556
Reported Total Nurse Staffing Hours per Resident per Day
4.39723
Reported Physical Therapist Staffing Hours per Resident Per Day
0.44444
Expected CNA Staffing Hours per Resident per Day
2.21730
Expected LPN Staffing Hours per Resident per Day
0.55484
Expected RN Staffing Hours per Resident per Day
0.73010
Expected Total Nurse Staffing Hours per Resident per Day
3.50223
Adjusted CNA Staffing Hours per Resident per Day
3.47663
Adjusted LPN Staffing Hours per Resident per Day
1.07417
Adjusted RN Staffing Hours per Resident per Day
0.55009
Adjusted Total Nurse Staffing Hours per Resident per Day
5.06100
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-02-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
40
Cycle 2 Standard Health Survey Date
2012-12-20
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
15
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
1
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
Nursiong Homes Nearby
Hilltop Lodge Nursing Home
815 N Independence Ave Po Box 467 |
BELOIT KS 67420 | 0.1 mile away
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