Smith County Memorial Hospital Ltcu - Smith Center Nursing Home
General Information
UPDATEFederal Provider Number
17A019
Provider Name
SMITH COUNTY MEMORIAL HOSPITAL LTCU
Provider Address
614 S MAIN ST
SMITH CENTER, KS 66967
SMITH CENTER, KS 66967
Provider Phone Number
(785) 282-6845
Provider SSA County
910
Provider County Name
Smith
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
28
Number of Residents in Certified Beds
24
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.35208
Reported LPN Staffing Hours per Resident per Day
1.06250
Reported RN Staffing Hours per Resident per Day
0.47917
Reported Licensed Staffing Hours per Resident per Day
1.54167
Reported Total Nurse Staffing Hours per Resident per Day
3.89375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.39583
Expected CNA Staffing Hours per Resident per Day
2.25281
Expected LPN Staffing Hours per Resident per Day
0.57505
Expected RN Staffing Hours per Resident per Day
0.75033
Expected Total Nurse Staffing Hours per Resident per Day
3.57819
Adjusted CNA Staffing Hours per Resident per Day
2.56182
Adjusted LPN Staffing Hours per Resident per Day
1.53356
Adjusted RN Staffing Hours per Resident per Day
0.47717
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38638
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-10-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-06-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
2
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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