Village Villa - Nortonville Nursing Home
General Information
UPDATEFederal Provider Number
175323
Provider Name
VILLAGE VILLA
Provider Address
PO BOX 346
NORTONVILLE, KS 66060
NORTONVILLE, KS 66060
Provider Phone Number
(913) 886-6400
Provider SSA County
430
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLAGE VILLA, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-11-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.47031
Reported LPN Staffing Hours per Resident per Day
1.06719
Reported RN Staffing Hours per Resident per Day
0.70938
Reported Licensed Staffing Hours per Resident per Day
1.77656
Reported Total Nurse Staffing Hours per Resident per Day
4.24688
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05781
Expected CNA Staffing Hours per Resident per Day
2.32223
Expected LPN Staffing Hours per Resident per Day
0.59241
Expected RN Staffing Hours per Resident per Day
0.93828
Expected Total Nurse Staffing Hours per Resident per Day
3.85291
Adjusted CNA Staffing Hours per Resident per Day
2.61017
Adjusted LPN Staffing Hours per Resident per Day
1.49519
Adjusted RN Staffing Hours per Resident per Day
0.56492
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44307
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-10-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-04-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
83.33300
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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