Signature Healthcare Of East Louisville - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185350
Provider Name
SIGNATURE HEALTHCARE OF EAST LOUISVILLE
Provider Address
2529 SIX MILE LANE
LOUISVILLE, KY 40220
LOUISVILLE, KY 40220
Provider Phone Number
(502) 491-5560
Provider SSA County
550
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP LOUISVILLE EAST LLC
Date First Approved to Provide Medicare and Medicaid services
1992-06-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.12288
Reported LPN Staffing Hours per Resident per Day
1.06229
Reported RN Staffing Hours per Resident per Day
0.77331
Reported Licensed Staffing Hours per Resident per Day
1.83559
Reported Total Nurse Staffing Hours per Resident per Day
3.95848
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15254
Expected CNA Staffing Hours per Resident per Day
2.52868
Expected LPN Staffing Hours per Resident per Day
0.74210
Expected RN Staffing Hours per Resident per Day
1.34253
Expected Total Nurse Staffing Hours per Resident per Day
4.61330
Adjusted CNA Staffing Hours per Resident per Day
2.05994
Adjusted LPN Staffing Hours per Resident per Day
1.18811
Adjusted RN Staffing Hours per Resident per Day
0.43040
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45874
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
622
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
622
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-01-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
313.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
103350
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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