Wyoming Nursing Homes >> Kemmerer Nursing Homes >> South Lincoln Nursing Center

South Lincoln Nursing Center - Kemmerer Nursing Home

General Information

UPDATE
Federal Provider Number
53A051
Provider Name
SOUTH LINCOLN NURSING CENTER
Provider Address
711 ONYX STREET
KEMMERER, WY 83101
Provider Phone Number
(307) 877-5717
Provider SSA County
110
Provider County Name
Lincoln
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
24
Number of Residents in Certified Beds
20
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
1999-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.89250
Reported LPN Staffing Hours per Resident per Day
0.68250
Reported RN Staffing Hours per Resident per Day
0.99000
Reported Licensed Staffing Hours per Resident per Day
1.67250
Reported Total Nurse Staffing Hours per Resident per Day
4.56500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01000
Expected CNA Staffing Hours per Resident per Day
1.89574
Expected LPN Staffing Hours per Resident per Day
0.61120
Expected RN Staffing Hours per Resident per Day
0.91519
Expected Total Nurse Staffing Hours per Resident per Day
3.42213
Adjusted CNA Staffing Hours per Resident per Day
3.74383
Adjusted LPN Staffing Hours per Resident per Day
0.92682
Adjusted RN Staffing Hours per Resident per Day
0.80828
Adjusted Total Nurse Staffing Hours per Resident per Day
5.37708
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
20
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
34.00000
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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