Wathena Healthcare & Rehabilitation Center - Wathena Nursing Home
General Information
UPDATEFederal Provider Number
175216
Provider Name
WATHENA HEALTHCARE & REHABILITATION CENTER
Provider Address
2112 HIGHWAY 36
WATHENA, KS 66090
WATHENA, KS 66090
Provider Phone Number
(785) 989-3141
Provider SSA County
210
Provider County Name
Doniphan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WATHENA HEALTHCARE AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1992-01-31
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.68068
Reported LPN Staffing Hours per Resident per Day
0.19432
Reported RN Staffing Hours per Resident per Day
0.96591
Reported Licensed Staffing Hours per Resident per Day
1.16023
Reported Total Nurse Staffing Hours per Resident per Day
2.84091
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14659
Expected CNA Staffing Hours per Resident per Day
2.23881
Expected LPN Staffing Hours per Resident per Day
0.63297
Expected RN Staffing Hours per Resident per Day
1.05134
Expected Total Nurse Staffing Hours per Resident per Day
3.92313
Adjusted CNA Staffing Hours per Resident per Day
1.84199
Adjusted LPN Staffing Hours per Resident per Day
0.25481
Adjusted RN Staffing Hours per Resident per Day
0.68648
Adjusted Total Nurse Staffing Hours per Resident per Day
2.91895
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-09
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-12-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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