Kentucky Nursing Homes >> Glasgow Nursing Homes >> T J Samson Community Hospital

T J Samson Community Hospital - Glasgow Nursing Home

General Information

UPDATE
Federal Provider Number
185387
Provider Name
T J SAMSON COMMUNITY HOSPITAL
Provider Address
1301 N RACE ST
GLASGOW, KY 42141
Provider Phone Number
(270) 651-4444
Provider SSA County
40
Provider County Name
Barren
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
16
Number of Residents in Certified Beds
11
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
T J SAMSON COMMUNITY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1993-11-08
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.51818
Reported LPN Staffing Hours per Resident per Day
4.28636
Reported RN Staffing Hours per Resident per Day
1.87273
Reported Licensed Staffing Hours per Resident per Day
6.15909
Reported Total Nurse Staffing Hours per Resident per Day
6.67727
Reported Physical Therapist Staffing Hours per Resident Per Day
0.51818
Expected CNA Staffing Hours per Resident per Day
2.79230
Expected LPN Staffing Hours per Resident per Day
0.97221
Expected RN Staffing Hours per Resident per Day
2.28800
Expected Total Nurse Staffing Hours per Resident per Day
6.05251
Adjusted CNA Staffing Hours per Resident per Day
0.45534
Adjusted LPN Staffing Hours per Resident per Day
3.65938
Adjusted RN Staffing Hours per Resident per Day
0.61158
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44698
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
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
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
14.00000
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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