Signature Healthcare Of Pikeville - Pikeville Nursing Home
General Information
UPDATEFederal Provider Number
185094
Provider Name
SIGNATURE HEALTHCARE OF PIKEVILLE
Provider Address
260 SOUTH MAYO TRAIL
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
Provider Phone Number
(606) 437-7327
Provider SSA County
970
Provider County Name
Pike
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP PIKEVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1970-06-01
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
1
QM Rating Footnote
Staffing Rating
2
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
2.03558
Reported LPN Staffing Hours per Resident per Day
0.70577
Reported RN Staffing Hours per Resident per Day
1.02740
Reported Licensed Staffing Hours per Resident per Day
1.73317
Reported Total Nurse Staffing Hours per Resident per Day
3.76875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06394
Expected CNA Staffing Hours per Resident per Day
2.68592
Expected LPN Staffing Hours per Resident per Day
0.77356
Expected RN Staffing Hours per Resident per Day
1.33408
Expected Total Nurse Staffing Hours per Resident per Day
4.79357
Adjusted CNA Staffing Hours per Resident per Day
1.85958
Adjusted LPN Staffing Hours per Resident per Day
0.75727
Adjusted RN Staffing Hours per Resident per Day
0.57543
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16913
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
803
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
803
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
432.16700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
8
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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