Russell Regional Hospital Ltcu - Russell Nursing Home
General Information
UPDATEFederal Provider Number
17E619
Provider Name
RUSSELL REGIONAL HOSPITAL LTCU
Provider Address
200 SOUTH MAIN STREET
RUSSELL, KS 67665
RUSSELL, KS 67665
Provider Phone Number
7854833131
Provider SSA County
830
Provider County Name
Russell
Ownership Type
Non profit - Corporation
Number of Certified Beds
21
Number of Residents in Certified Beds
20
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2002-11-05
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
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
3.94500
Reported LPN Staffing Hours per Resident per Day
1.07500
Reported RN Staffing Hours per Resident per Day
0.55750
Reported Licensed Staffing Hours per Resident per Day
1.63250
Reported Total Nurse Staffing Hours per Resident per Day
5.57750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.40517
Expected LPN Staffing Hours per Resident per Day
0.69112
Expected RN Staffing Hours per Resident per Day
0.94808
Expected Total Nurse Staffing Hours per Resident per Day
4.04437
Adjusted CNA Staffing Hours per Resident per Day
4.02459
Adjusted LPN Staffing Hours per Resident per Day
1.29102
Adjusted RN Staffing Hours per Resident per Day
0.43938
Adjusted Total Nurse Staffing Hours per Resident per Day
5.55892
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
16
Cycle 2 Standard Health Survey Date
2013-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-02-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
19.33300
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
Nursiong Homes Nearby
Wheatland Nursing & Rehabilitation Center
320 S Lincoln St |
RUSSELL KS 67665 | 0.2 mile away
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