Western State Nursing Facility - Hopkinsville Nursing Home
General Information
UPDATEFederal Provider Number
185228
Provider Name
WESTERN STATE NURSING FACILITY
Provider Address
2400 RUSSELLVILLE ROAD
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
Provider Phone Number
(270) 889-6025
Provider SSA County
230
Provider County Name
Christian
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
144
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
COMMONWEALTH OF KENTUCKY
Date First Approved to Provide Medicare and Medicaid services
1991-01-03
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
3.45339
Reported LPN Staffing Hours per Resident per Day
0.74237
Reported RN Staffing Hours per Resident per Day
0.59025
Reported Licensed Staffing Hours per Resident per Day
1.33263
Reported Total Nurse Staffing Hours per Resident per Day
4.78601
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.23864
Expected LPN Staffing Hours per Resident per Day
0.53805
Expected RN Staffing Hours per Resident per Day
0.67555
Expected Total Nurse Staffing Hours per Resident per Day
3.45223
Adjusted CNA Staffing Hours per Resident per Day
3.78515
Adjusted LPN Staffing Hours per Resident per Day
1.14520
Adjusted RN Staffing Hours per Resident per Day
0.65286
Adjusted Total Nurse Staffing Hours per Resident per Day
5.58826
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-03-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-04-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
27500
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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