Wesley Manor - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185136
Provider Name
WESLEY MANOR
Provider Address
5012 EAST MANSLICK RD
LOUISVILLE, KY 40219
LOUISVILLE, KY 40219
Provider Phone Number
(502) 969-3277
Provider SSA County
550
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
68
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESLEY MANOR RETIREMENT COMMUNITY INC.
Date First Approved to Provide Medicare and Medicaid services
1976-04-19
Continuing Care Retirement Community
Y
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
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49758
Reported LPN Staffing Hours per Resident per Day
1.04839
Reported RN Staffing Hours per Resident per Day
0.93790
Reported Licensed Staffing Hours per Resident per Day
1.98629
Reported Total Nurse Staffing Hours per Resident per Day
4.48387
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01129
Expected CNA Staffing Hours per Resident per Day
2.44473
Expected LPN Staffing Hours per Resident per Day
0.55689
Expected RN Staffing Hours per Resident per Day
0.81066
Expected Total Nurse Staffing Hours per Resident per Day
3.81228
Adjusted CNA Staffing Hours per Resident per Day
2.50674
Adjusted LPN Staffing Hours per Resident per Day
1.56255
Adjusted RN Staffing Hours per Resident per Day
0.86448
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74100
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2015-02-20
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
64.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
16185
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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