Stanton County Health Care Facility Ltcu - Johnson Nursing Home
General Information
UPDATEFederal Provider Number
17E445
Provider Name
STANTON COUNTY HEALTH CARE FACILITY LTCU
Provider Address
404 N CHESTNUT PO BOX 779
JOHNSON, KS 67855
JOHNSON, KS 67855
Provider Phone Number
(620) 492-6250
Provider SSA County
921
Provider County Name
Stanton
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
25
Number of Residents in Certified Beds
22
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
1980-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
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
3.44091
Reported LPN Staffing Hours per Resident per Day
0.29773
Reported RN Staffing Hours per Resident per Day
1.16818
Reported Licensed Staffing Hours per Resident per Day
1.46591
Reported Total Nurse Staffing Hours per Resident per Day
4.90682
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25909
Expected CNA Staffing Hours per Resident per Day
2.19360
Expected LPN Staffing Hours per Resident per Day
0.57640
Expected RN Staffing Hours per Resident per Day
0.66987
Expected Total Nurse Staffing Hours per Resident per Day
3.43987
Adjusted CNA Staffing Hours per Resident per Day
3.84891
Adjusted LPN Staffing Hours per Resident per Day
0.42872
Adjusted RN Staffing Hours per Resident per Day
1.30304
Adjusted Total Nurse Staffing Hours per Resident per Day
5.74990
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-03-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
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
16
Cycle 3 Standard Health Survey Date
2011-11-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
55.33300
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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