Protection Valley Manor - Protection Nursing Home
General Information
UPDATEFederal Provider Number
170000000000000000000000000000
Provider Name
PROTECTION VALLEY MANOR
Provider Address
600 S BROADWAY PO BOX 448
PROTECTION, KS 67127
PROTECTION, KS 67127
Provider Phone Number
(620) 622-4261
Provider SSA County
160
Provider County Name
Comanche
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
42
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-25
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
3
Health Inspection Rating Footnote
QM Rating
3
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
2.12976
Reported LPN Staffing Hours per Resident per Day
0.47143
Reported RN Staffing Hours per Resident per Day
0.34048
Reported Licensed Staffing Hours per Resident per Day
0.81190
Reported Total Nurse Staffing Hours per Resident per Day
2.94167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.03004
Expected LPN Staffing Hours per Resident per Day
0.48969
Expected RN Staffing Hours per Resident per Day
0.61509
Expected Total Nurse Staffing Hours per Resident per Day
3.13482
Adjusted CNA Staffing Hours per Resident per Day
2.57423
Adjusted LPN Staffing Hours per Resident per Day
0.79905
Adjusted RN Staffing Hours per Resident per Day
0.41361
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78253
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-02-19
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2011-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
56.00000
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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