Summit Manor Health & Rehabilitation Center - Columbia Nursing Home
General Information
UPDATEFederal Provider Number
185052
Provider Name
SUMMIT MANOR HEALTH & REHABILITATION CENTER
Provider Address
400 BOMAR HEIGHTS
COLUMBIA, KY 42728
COLUMBIA, KY 42728
Provider Phone Number
2703842153
Provider SSA County
0
Provider County Name
Adair
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUMMIT MANOR HEALTH & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-06-27
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.63932
Reported LPN Staffing Hours per Resident per Day
0.48058
Reported RN Staffing Hours per Resident per Day
0.64369
Reported Licensed Staffing Hours per Resident per Day
1.12427
Reported Total Nurse Staffing Hours per Resident per Day
3.76359
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01942
Expected CNA Staffing Hours per Resident per Day
2.55804
Expected LPN Staffing Hours per Resident per Day
0.70763
Expected RN Staffing Hours per Resident per Day
1.04060
Expected Total Nurse Staffing Hours per Resident per Day
4.30628
Adjusted CNA Staffing Hours per Resident per Day
2.53166
Adjusted LPN Staffing Hours per Resident per Day
0.56369
Adjusted RN Staffing Hours per Resident per Day
0.46220
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52292
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-05-16
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
1
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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