Salem Springlake Health & Rehabilitation Center - Salem Nursing Home
General Information
UPDATEFederal Provider Number
185046
Provider Name
SALEM SPRINGLAKE HEALTH & REHABILITATION CENTER
Provider Address
509 NORTH HAYDEN AVE.
SALEM, KY 42078
SALEM, KY 42078
Provider Phone Number
2709884572
Provider SSA County
690
Provider County Name
Livingston
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ORION SALEM LLC
Date First Approved to Provide Medicare and Medicaid services
1967-02-23
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.59636
Reported LPN Staffing Hours per Resident per Day
0.54545
Reported RN Staffing Hours per Resident per Day
1.36091
Reported Licensed Staffing Hours per Resident per Day
1.90636
Reported Total Nurse Staffing Hours per Resident per Day
3.50272
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04182
Expected CNA Staffing Hours per Resident per Day
2.32673
Expected LPN Staffing Hours per Resident per Day
0.67026
Expected RN Staffing Hours per Resident per Day
1.31733
Expected Total Nurse Staffing Hours per Resident per Day
4.31432
Adjusted CNA Staffing Hours per Resident per Day
1.68347
Adjusted LPN Staffing Hours per Resident per Day
0.67545
Adjusted RN Staffing Hours per Resident per Day
0.77192
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27261
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
32
Cycle 2 Standard Health Survey Date
2013-08-08
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
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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