Sedgwick County Memorial Nursing Home - Julesburg Nursing Home
General Information
UPDATEFederal Provider Number
06A173
Provider Name
SEDGWICK COUNTY MEMORIAL NURSING HOME
Provider Address
901 CEDAR STREET
JULESBURG, CO 80737
JULESBURG, CO 80737
Provider Phone Number
9704743323
Provider SSA County
570
Provider County Name
Sedgwick
Ownership Type
Government - County
Number of Certified Beds
32
Number of Residents in Certified Beds
29
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-06-01
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
3
Health Inspection Rating Footnote
QM Rating
2
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
2.35000
Reported LPN Staffing Hours per Resident per Day
0.69483
Reported RN Staffing Hours per Resident per Day
0.50690
Reported Licensed Staffing Hours per Resident per Day
1.20172
Reported Total Nurse Staffing Hours per Resident per Day
3.55173
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00172
Expected CNA Staffing Hours per Resident per Day
2.20252
Expected LPN Staffing Hours per Resident per Day
0.61404
Expected RN Staffing Hours per Resident per Day
0.79173
Expected Total Nurse Staffing Hours per Resident per Day
3.60829
Adjusted CNA Staffing Hours per Resident per Day
2.61800
Adjusted LPN Staffing Hours per Resident per Day
0.93921
Adjusted RN Staffing Hours per Resident per Day
0.47839
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96771
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-10-10
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
53.33300
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
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