Nursing Facility Of Hardin Memorial Hospital - Elizabethtown Nursing Home
General Information
UPDATEFederal Provider Number
185427
Provider Name
NURSING FACILITY OF HARDIN MEMORIAL HOSPITAL
Provider Address
913 N. DIXIE AVE.
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
Provider Phone Number
(270) 706-1206
Provider SSA County
460
Provider County Name
Hardin
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
15
Number of Residents in Certified Beds
11
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1996-08-22
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.11364
Reported LPN Staffing Hours per Resident per Day
2.18182
Reported RN Staffing Hours per Resident per Day
3.21818
Reported Licensed Staffing Hours per Resident per Day
5.40000
Reported Total Nurse Staffing Hours per Resident per Day
8.51364
Reported Physical Therapist Staffing Hours per Resident Per Day
1.45909
Expected CNA Staffing Hours per Resident per Day
2.45071
Expected LPN Staffing Hours per Resident per Day
1.10348
Expected RN Staffing Hours per Resident per Day
2.27084
Expected Total Nurse Staffing Hours per Resident per Day
5.82504
Adjusted CNA Staffing Hours per Resident per Day
3.11743
Adjusted LPN Staffing Hours per Resident per Day
1.64109
Adjusted RN Staffing Hours per Resident per Day
1.05891
Adjusted Total Nurse Staffing Hours per Resident per Day
5.89140
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
20
Cycle 2 Standard Health Survey Date
2013-11-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
9.33300
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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