Providence Homestead - Lexington Nursing Home
General Information
UPDATEFederal Provider Number
185144
Provider Name
PROVIDENCE HOMESTEAD
Provider Address
1608 VERSAILLES ROAD
LEXINGTON, KY 40504
LEXINGTON, KY 40504
Provider Phone Number
(859) 252-0871
Provider SSA County
330
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
136
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROVIDENCE HEALTHCARE OF HOMESTEAD LLC
Date First Approved to Provide Medicare and Medicaid services
1977-11-01
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.81378
Reported LPN Staffing Hours per Resident per Day
1.17441
Reported RN Staffing Hours per Resident per Day
0.56732
Reported Licensed Staffing Hours per Resident per Day
1.74173
Reported Total Nurse Staffing Hours per Resident per Day
4.55551
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03937
Expected CNA Staffing Hours per Resident per Day
2.61484
Expected LPN Staffing Hours per Resident per Day
0.69253
Expected RN Staffing Hours per Resident per Day
1.00218
Expected Total Nurse Staffing Hours per Resident per Day
4.30956
Adjusted CNA Staffing Hours per Resident per Day
2.64038
Adjusted LPN Staffing Hours per Resident per Day
1.40753
Adjusted RN Staffing Hours per Resident per Day
0.42298
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26095
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
349
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
349
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
185.83300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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