Providence Pine Meadows - Lexington Nursing Home
General Information
UPDATEFederal Provider Number
185215
Provider Name
PROVIDENCE PINE MEADOWS
Provider Address
1608 HILL RISE DRIVE
LEXINGTON, KY 40504
LEXINGTON, KY 40504
Provider Phone Number
(859) 254-2402
Provider SSA County
330
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1990-10-17
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.88870
Reported LPN Staffing Hours per Resident per Day
1.05696
Reported RN Staffing Hours per Resident per Day
0.66435
Reported Licensed Staffing Hours per Resident per Day
1.72130
Reported Total Nurse Staffing Hours per Resident per Day
3.61001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03783
Expected CNA Staffing Hours per Resident per Day
2.61873
Expected LPN Staffing Hours per Resident per Day
0.62006
Expected RN Staffing Hours per Resident per Day
0.94429
Expected Total Nurse Staffing Hours per Resident per Day
4.18307
Adjusted CNA Staffing Hours per Resident per Day
1.76968
Adjusted LPN Staffing Hours per Resident per Day
1.41484
Adjusted RN Staffing Hours per Resident per Day
0.52569
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47869
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-05-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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