Park Terrace Health Campus - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185462
Provider Name
PARK TERRACE HEALTH CAMPUS
Provider Address
9700 STONESTREET ROAD
LOUISVILLE, KY 40272
LOUISVILLE, KY 40272
Provider Phone Number
(502) 995-6600
Provider SSA County
550
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRILOGY HEALTHCARE OF LOUISVILLE SOUTHWEST, LLC
Date First Approved to Provide Medicare and Medicaid services
2006-08-31
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11176
Reported LPN Staffing Hours per Resident per Day
1.07647
Reported RN Staffing Hours per Resident per Day
0.67824
Reported Licensed Staffing Hours per Resident per Day
1.75471
Reported Total Nurse Staffing Hours per Resident per Day
3.86647
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13000
Expected CNA Staffing Hours per Resident per Day
2.61544
Expected LPN Staffing Hours per Resident per Day
0.79244
Expected RN Staffing Hours per Resident per Day
1.33047
Expected Total Nurse Staffing Hours per Resident per Day
4.73834
Adjusted CNA Staffing Hours per Resident per Day
1.98117
Adjusted LPN Staffing Hours per Resident per Day
1.12750
Adjusted RN Staffing Hours per Resident per Day
0.38090
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28920
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
44
Cycle 2 Standard Health Survey Date
2013-09-19
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
30.66700
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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