Signature Healthcare Of Elizabethtown - Elizabethtown Nursing Home
General Information
UPDATEFederal Provider Number
185118
Provider Name
SIGNATURE HEALTHCARE OF ELIZABETHTOWN
Provider Address
1117 WOODLAND DRIVE
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
Provider Phone Number
(270) 769-2363
Provider SSA County
460
Provider County Name
Hardin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP E-TOWN 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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.08571
Reported LPN Staffing Hours per Resident per Day
0.97024
Reported RN Staffing Hours per Resident per Day
0.63810
Reported Licensed Staffing Hours per Resident per Day
1.60833
Reported Total Nurse Staffing Hours per Resident per Day
3.69405
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05179
Expected CNA Staffing Hours per Resident per Day
2.64111
Expected LPN Staffing Hours per Resident per Day
0.74522
Expected RN Staffing Hours per Resident per Day
1.25268
Expected Total Nurse Staffing Hours per Resident per Day
4.63902
Adjusted CNA Staffing Hours per Resident per Day
1.93771
Adjusted LPN Staffing Hours per Resident per Day
1.08062
Adjusted RN Staffing Hours per Resident per Day
0.38061
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20981
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
4550
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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