Owsley County Health Care Center, Inc - Booneville Nursing Home
General Information
UPDATEFederal Provider Number
185273
Provider Name
OWSLEY COUNTY HEALTH CARE CENTER, INC
Provider Address
HIGHWAY 11
BOONEVILLE, KY 41314
BOONEVILLE, KY 41314
Provider Phone Number
(606) 593-6302
Provider SSA County
931
Provider County Name
Owsley
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OWSLEY COUNTY HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-07-02
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.54000
Reported LPN Staffing Hours per Resident per Day
0.29000
Reported RN Staffing Hours per Resident per Day
1.30857
Reported Licensed Staffing Hours per Resident per Day
1.59857
Reported Total Nurse Staffing Hours per Resident per Day
4.13857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06214
Expected CNA Staffing Hours per Resident per Day
2.35533
Expected LPN Staffing Hours per Resident per Day
0.66727
Expected RN Staffing Hours per Resident per Day
1.04856
Expected Total Nurse Staffing Hours per Resident per Day
4.07117
Adjusted CNA Staffing Hours per Resident per Day
2.64608
Adjusted LPN Staffing Hours per Resident per Day
0.36072
Adjusted RN Staffing Hours per Resident per Day
0.93248
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09763
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
16
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
4875
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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