Alaska Nursing Homes >> Homer Nursing Homes >> South Peninsula Hospital Ltc

South Peninsula Hospital Ltc - Homer Nursing Home

General Information

UPDATE
Federal Provider Number
25031
Provider Name
SOUTH PENINSULA HOSPITAL LTC
Provider Address
4300 BARTLETT STREET
HOMER, AK 99603
Provider Phone Number
9072350231
Provider SSA County
120
Provider County Name
Kenai Peninsula
Ownership Type
Government - City/county
Number of Certified Beds
28
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SOUTH PENINSULA HOSPITAL, INC
Date First Approved to Provide Medicare and Medicaid services
1994-10-26
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
4.96607
Reported LPN Staffing Hours per Resident per Day
0.60714
Reported RN Staffing Hours per Resident per Day
2.46964
Reported Licensed Staffing Hours per Resident per Day
3.07679
Reported Total Nurse Staffing Hours per Resident per Day
8.04285
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02321
Expected CNA Staffing Hours per Resident per Day
2.29728
Expected LPN Staffing Hours per Resident per Day
0.59556
Expected RN Staffing Hours per Resident per Day
0.83185
Expected Total Nurse Staffing Hours per Resident per Day
3.72469
Adjusted CNA Staffing Hours per Resident per Day
5.30420
Adjusted LPN Staffing Hours per Resident per Day
0.84614
Adjusted RN Staffing Hours per Resident per Day
2.21832
Adjusted Total Nurse Staffing Hours per Resident per Day
8.70406
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
40
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
39.33300
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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