Signature Healthcare Of South Louisville - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185335
Provider Name
SIGNATURE HEALTHCARE OF SOUTH LOUISVILLE
Provider Address
1120 CRISTLAND ROAD
LOUISVILLE, KY 40214
LOUISVILLE, KY 40214
Provider Phone Number
(502) 367-0104
Provider SSA County
550
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP LOUISVILLE SOUTH LLC
Date First Approved to Provide Medicare and Medicaid services
1992-02-29
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.94794
Reported LPN Staffing Hours per Resident per Day
1.03247
Reported RN Staffing Hours per Resident per Day
0.96134
Reported Licensed Staffing Hours per Resident per Day
1.99381
Reported Total Nurse Staffing Hours per Resident per Day
3.94175
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04948
Expected CNA Staffing Hours per Resident per Day
2.52145
Expected LPN Staffing Hours per Resident per Day
0.70269
Expected RN Staffing Hours per Resident per Day
1.32572
Expected Total Nurse Staffing Hours per Resident per Day
4.54986
Adjusted CNA Staffing Hours per Resident per Day
1.89560
Adjusted LPN Staffing Hours per Resident per Day
1.21953
Adjusted RN Staffing Hours per Resident per Day
0.54183
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49215
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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