Shady Lawn Nursing And Rehabilitation Center - Cadiz Nursing Home
General Information
UPDATEFederal Provider Number
185252
Provider Name
SHADY LAWN NURSING AND REHABILITATION CENTER
Provider Address
2582 CERULEAN RD.
CADIZ, KY 42211
CADIZ, KY 42211
Provider Phone Number
(270) 522-3236
Provider SSA County
983
Provider County Name
Trigg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CADIZ HEALTH FACILITIES LP
Date First Approved to Provide Medicare and Medicaid services
1991-03-12
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.98837
Reported LPN Staffing Hours per Resident per Day
0.82326
Reported RN Staffing Hours per Resident per Day
0.85349
Reported Licensed Staffing Hours per Resident per Day
1.67674
Reported Total Nurse Staffing Hours per Resident per Day
3.66512
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.67829
Expected LPN Staffing Hours per Resident per Day
0.72571
Expected RN Staffing Hours per Resident per Day
1.09797
Expected Total Nurse Staffing Hours per Resident per Day
4.50197
Adjusted CNA Staffing Hours per Resident per Day
1.82164
Adjusted LPN Staffing Hours per Resident per Day
0.94157
Adjusted RN Staffing Hours per Resident per Day
0.58082
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28161
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
20
Cycle 1 Standard Survey Health Date
2014-11-20
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
18.66700
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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