Signature Healthcare At Hillcrest - Owensboro Nursing Home
General Information
UPDATEFederal Provider Number
185120
Provider Name
SIGNATURE HEALTHCARE AT HILLCREST
Provider Address
3740 OLD HARTFORD RD
OWENSBORO, KY 42303
OWENSBORO, KY 42303
Provider Phone Number
(270) 684-7259
Provider SSA County
290
Provider County Name
Daviess
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
156
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP OWENSBORO II, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-09-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
2.23016
Reported LPN Staffing Hours per Resident per Day
0.72222
Reported RN Staffing Hours per Resident per Day
0.66706
Reported Licensed Staffing Hours per Resident per Day
1.38929
Reported Total Nurse Staffing Hours per Resident per Day
3.61944
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08571
Expected CNA Staffing Hours per Resident per Day
2.52334
Expected LPN Staffing Hours per Resident per Day
0.67004
Expected RN Staffing Hours per Resident per Day
1.16590
Expected Total Nurse Staffing Hours per Resident per Day
4.35928
Adjusted CNA Staffing Hours per Resident per Day
2.16861
Adjusted LPN Staffing Hours per Resident per Day
0.89463
Adjusted RN Staffing Hours per Resident per Day
0.42751
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34679
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-20
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
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
439
Cycle 3 Standard Health Survey Date
2012-04-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
439
Total Weighted Health Survey Score
99.16700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
19500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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