St Elizabeth Ft Thomas Snf - Fort Thomas Nursing Home
General Information
UPDATEFederal Provider Number
185328
Provider Name
ST ELIZABETH FT THOMAS SNF
Provider Address
85 NORTH GRAND AVENUE
FORT THOMAS, KY 41075
FORT THOMAS, KY 41075
Provider Phone Number
(859) 572-3530
Provider SSA County
180
Provider County Name
Campbell
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
26
Number of Residents in Certified Beds
16
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
ST ELIZABETH MEDICAL CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1992-01-29
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
2.85625
Reported LPN Staffing Hours per Resident per Day
1.43750
Reported RN Staffing Hours per Resident per Day
2.45000
Reported Licensed Staffing Hours per Resident per Day
3.88750
Reported Total Nurse Staffing Hours per Resident per Day
6.74375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.75000
Expected CNA Staffing Hours per Resident per Day
2.27744
Expected LPN Staffing Hours per Resident per Day
0.72413
Expected RN Staffing Hours per Resident per Day
1.68968
Expected Total Nurse Staffing Hours per Resident per Day
4.69125
Adjusted CNA Staffing Hours per Resident per Day
3.07731
Adjusted LPN Staffing Hours per Resident per Day
1.64766
Adjusted RN Staffing Hours per Resident per Day
1.08342
Adjusted Total Nurse Staffing Hours per Resident per Day
5.79449
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-01
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-05-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
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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