Sacred Heart Village - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185442
Provider Name
SACRED HEART VILLAGE
Provider Address
2120 PAYNE STREET
LOUISVILLE, KY 40206
LOUISVILLE, KY 40206
Provider Phone Number
(502) 895-9425
Provider SSA County
550
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERCY SACRED HEART, INC.
Date First Approved to Provide Medicare and Medicaid services
2000-01-28
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
1.98245
Reported LPN Staffing Hours per Resident per Day
1.16117
Reported RN Staffing Hours per Resident per Day
0.52021
Reported Licensed Staffing Hours per Resident per Day
1.68138
Reported Total Nurse Staffing Hours per Resident per Day
3.66383
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13989
Expected CNA Staffing Hours per Resident per Day
2.31420
Expected LPN Staffing Hours per Resident per Day
0.61237
Expected RN Staffing Hours per Resident per Day
0.97027
Expected Total Nurse Staffing Hours per Resident per Day
3.89684
Adjusted CNA Staffing Hours per Resident per Day
2.10195
Adjusted LPN Staffing Hours per Resident per Day
1.57384
Adjusted RN Staffing Hours per Resident per Day
0.40061
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78987
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
16
Cycle 1 Standard Survey Health Date
2014-05-01
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
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
36
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
16
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
22.66700
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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