Stevens County Hospital Ltcu Dba Pioneer Manor - Hugoton Nursing Home
General Information
UPDATEFederal Provider Number
17E546
Provider Name
STEVENS COUNTY HOSPITAL LTCU DBA PIONEER MANOR
Provider Address
1711 S MAIN
HUGOTON, KS 67951
HUGOTON, KS 67951
Provider Phone Number
6205442023
Provider SSA County
940
Provider County Name
Stevens
Ownership Type
Government - County
Number of Certified Beds
83
Number of Residents in Certified Beds
68
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
1987-08-19
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
3.34559
Reported LPN Staffing Hours per Resident per Day
0.23235
Reported RN Staffing Hours per Resident per Day
0.89338
Reported Licensed Staffing Hours per Resident per Day
1.12574
Reported Total Nurse Staffing Hours per Resident per Day
4.47132
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00809
Expected CNA Staffing Hours per Resident per Day
2.11165
Expected LPN Staffing Hours per Resident per Day
0.55853
Expected RN Staffing Hours per Resident per Day
0.73652
Expected Total Nurse Staffing Hours per Resident per Day
3.40670
Adjusted CNA Staffing Hours per Resident per Day
3.88751
Adjusted LPN Staffing Hours per Resident per Day
0.34528
Adjusted RN Staffing Hours per Resident per Day
0.90633
Adjusted Total Nurse Staffing Hours per Resident per Day
5.29059
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
124
Cycle 2 Standard Health Survey Date
2013-11-13
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
12
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-07-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
98.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
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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