Ness County Hospital Ltcu Dba Cedar Village - Ness City Nursing Home
General Information
UPDATEFederal Provider Number
17E625
Provider Name
NESS COUNTY HOSPITAL LTCU DBA CEDAR VILLAGE
Provider Address
312 CUSTER
NESS CITY, KS 67560
NESS CITY, KS 67560
Provider Phone Number
(785) 798-2291
Provider SSA County
670
Provider County Name
Ness
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
43
Number of Residents in Certified Beds
37
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
2004-10-08
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
4
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
3.92162
Reported LPN Staffing Hours per Resident per Day
0.19324
Reported RN Staffing Hours per Resident per Day
0.58649
Reported Licensed Staffing Hours per Resident per Day
0.77973
Reported Total Nurse Staffing Hours per Resident per Day
4.70135
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00541
Expected CNA Staffing Hours per Resident per Day
2.21917
Expected LPN Staffing Hours per Resident per Day
0.56367
Expected RN Staffing Hours per Resident per Day
0.80800
Expected Total Nurse Staffing Hours per Resident per Day
3.59083
Adjusted CNA Staffing Hours per Resident per Day
4.33608
Adjusted LPN Staffing Hours per Resident per Day
0.28455
Adjusted RN Staffing Hours per Resident per Day
0.54236
Adjusted Total Nurse Staffing Hours per Resident per Day
5.27751
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
48.66700
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
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