Park Lane Nursing Home - Scott City Nursing Home
General Information
UPDATEFederal Provider Number
175525
Provider Name
PARK LANE NURSING HOME
Provider Address
210 E PARK LANE
SCOTT CITY, KS 67871
SCOTT CITY, KS 67871
Provider Phone Number
6208725871
Provider SSA County
841
Provider County Name
Scott
Ownership Type
Government - County
Number of Certified Beds
68
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE SCOTT COUNTY REST HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
2012-06-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
3.07667
Reported LPN Staffing Hours per Resident per Day
0.32250
Reported RN Staffing Hours per Resident per Day
1.06000
Reported Licensed Staffing Hours per Resident per Day
1.38250
Reported Total Nurse Staffing Hours per Resident per Day
4.45917
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01667
Expected CNA Staffing Hours per Resident per Day
2.03280
Expected LPN Staffing Hours per Resident per Day
0.53986
Expected RN Staffing Hours per Resident per Day
0.77554
Expected Total Nurse Staffing Hours per Resident per Day
3.34820
Adjusted CNA Staffing Hours per Resident per Day
3.71370
Adjusted LPN Staffing Hours per Resident per Day
0.49583
Adjusted RN Staffing Hours per Resident per Day
1.02127
Adjusted Total Nurse Staffing Hours per Resident per Day
5.36840
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-08-20
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-04-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
1
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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