Sabetha Manor - Sabetha Nursing Home
General Information
UPDATEFederal Provider Number
175241
Provider Name
SABETHA MANOR
Provider Address
1441 OREGON ST
SABETHA, KS 66534
SABETHA, KS 66534
Provider Phone Number
(785) 284-3411
Provider SSA County
650
Provider County Name
Nemaha
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SABETHA NURSING LLC
Date First Approved to Provide Medicare and Medicaid services
1993-09-03
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.50185
Reported LPN Staffing Hours per Resident per Day
0.94259
Reported RN Staffing Hours per Resident per Day
0.52593
Reported Licensed Staffing Hours per Resident per Day
1.46852
Reported Total Nurse Staffing Hours per Resident per Day
3.97037
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02407
Expected CNA Staffing Hours per Resident per Day
2.30315
Expected LPN Staffing Hours per Resident per Day
0.59660
Expected RN Staffing Hours per Resident per Day
0.82870
Expected Total Nurse Staffing Hours per Resident per Day
3.72846
Adjusted CNA Staffing Hours per Resident per Day
2.66539
Adjusted LPN Staffing Hours per Resident per Day
1.31134
Adjusted RN Staffing Hours per Resident per Day
0.47420
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29244
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2012-12-26
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
50
Cycle 2 Total Health Score
150
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
2011-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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