Trego Manor - Wakeeney Nursing Home

General Information

UPDATE
Federal Provider Number
175515
Provider Name
TREGO MANOR
Provider Address
320 SOUTH AVE
WAKEENEY, KS 67672
Provider Phone Number
(785) 743-5787
Provider SSA County
970
Provider County Name
Trego
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TREGO MANOR, INC
Date First Approved to Provide Medicare and Medicaid services
2010-06-03
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.21875
Reported LPN Staffing Hours per Resident per Day
0.63375
Reported RN Staffing Hours per Resident per Day
0.38375
Reported Licensed Staffing Hours per Resident per Day
1.01750
Reported Total Nurse Staffing Hours per Resident per Day
4.23625
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00375
Expected CNA Staffing Hours per Resident per Day
2.12050
Expected LPN Staffing Hours per Resident per Day
0.60560
Expected RN Staffing Hours per Resident per Day
0.82998
Expected Total Nurse Staffing Hours per Resident per Day
3.55608
Adjusted CNA Staffing Hours per Resident per Day
3.72452
Adjusted LPN Staffing Hours per Resident per Day
0.86859
Adjusted RN Staffing Hours per Resident per Day
0.34547
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80189
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
160
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
160
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
25
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
156
Cycle 3 Standard Health Survey Date
2012-02-10
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
78
Cycle 3 Total Health Score
234
Total Weighted Health Survey Score
122.33300
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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