Signature Healthcare Of Cherokee Park - Louisville Nursing Home

General Information

UPDATE
Federal Provider Number
185237
Provider Name
SIGNATURE HEALTHCARE OF CHEROKEE PARK
Provider Address
2100 MILLVALE RD.
LOUISVILLE, KY 40205
Provider Phone Number
(502) 451-0990
Provider SSA County
550
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP LOUISVILLE CHEROKEE PARK LLC
Date First Approved to Provide Medicare and Medicaid services
1991-02-11
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.69632
Reported LPN Staffing Hours per Resident per Day
0.67059
Reported RN Staffing Hours per Resident per Day
1.31250
Reported Licensed Staffing Hours per Resident per Day
1.98309
Reported Total Nurse Staffing Hours per Resident per Day
3.67941
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20368
Expected CNA Staffing Hours per Resident per Day
2.38128
Expected LPN Staffing Hours per Resident per Day
0.72196
Expected RN Staffing Hours per Resident per Day
1.43600
Expected Total Nurse Staffing Hours per Resident per Day
4.53925
Adjusted CNA Staffing Hours per Resident per Day
1.74791
Adjusted LPN Staffing Hours per Resident per Day
0.77094
Adjusted RN Staffing Hours per Resident per Day
0.68294
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26736
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
12
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
28
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
19.33300
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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