Providence Richwood - La Grange Nursing Home
General Information
UPDATEFederal Provider Number
185438
Provider Name
PROVIDENCE RICHWOOD
Provider Address
1012 RICHWOOD WAY
LA GRANGE, KY 40031
LA GRANGE, KY 40031
Provider Phone Number
(502) 222-3186
Provider SSA County
920
Provider County Name
Oldham
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
101
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
1998-01-12
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.99455
Reported LPN Staffing Hours per Resident per Day
1.50743
Reported RN Staffing Hours per Resident per Day
0.56040
Reported Licensed Staffing Hours per Resident per Day
2.06782
Reported Total Nurse Staffing Hours per Resident per Day
4.06238
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06584
Expected CNA Staffing Hours per Resident per Day
2.46058
Expected LPN Staffing Hours per Resident per Day
0.65415
Expected RN Staffing Hours per Resident per Day
1.11471
Expected Total Nurse Staffing Hours per Resident per Day
4.22943
Adjusted CNA Staffing Hours per Resident per Day
1.98898
Adjusted LPN Staffing Hours per Resident per Day
1.91267
Adjusted RN Staffing Hours per Resident per Day
0.37564
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87169
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
377
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
377
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-10-17
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
13
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
207.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
8580
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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