Robertson County Health Care Facility - Mount Olivet Nursing Home
General Information
UPDATEFederal Provider Number
185359
Provider Name
ROBERTSON COUNTY HEALTH CARE FACILITY
Provider Address
ROUTE 2, U S HIGHWAY 62
MOUNT OLIVET, KY 41064
MOUNT OLIVET, KY 41064
Provider Phone Number
(606) 724-5020
Provider SSA County
973
Provider County Name
Robertson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROBERTSON MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
1992-10-07
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.54828
Reported LPN Staffing Hours per Resident per Day
0.73276
Reported RN Staffing Hours per Resident per Day
0.38190
Reported Licensed Staffing Hours per Resident per Day
1.11466
Reported Total Nurse Staffing Hours per Resident per Day
3.66294
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01983
Expected CNA Staffing Hours per Resident per Day
2.58391
Expected LPN Staffing Hours per Resident per Day
0.65616
Expected RN Staffing Hours per Resident per Day
1.01036
Expected Total Nurse Staffing Hours per Resident per Day
4.25043
Adjusted CNA Staffing Hours per Resident per Day
2.41987
Adjusted LPN Staffing Hours per Resident per Day
0.92689
Adjusted RN Staffing Hours per Resident per Day
0.28243
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47375
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
4.66700
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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