Wheat State Manor - Whitewater Nursing Home
General Information
UPDATEFederal Provider Number
175451
Provider Name
WHEAT STATE MANOR
Provider Address
601 S MAIN ST
WHITEWATER, KS 67154
WHITEWATER, KS 67154
Provider Phone Number
(316) 799-2181
Provider SSA County
70
Provider County Name
Butler
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
65
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHEAT STATE MANOR, INC
Date First Approved to Provide Medicare and Medicaid services
2002-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
3.06148
Reported LPN Staffing Hours per Resident per Day
0.25902
Reported RN Staffing Hours per Resident per Day
0.88852
Reported Licensed Staffing Hours per Resident per Day
1.14754
Reported Total Nurse Staffing Hours per Resident per Day
4.20902
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01311
Expected CNA Staffing Hours per Resident per Day
2.34744
Expected LPN Staffing Hours per Resident per Day
0.57482
Expected RN Staffing Hours per Resident per Day
0.78203
Expected Total Nurse Staffing Hours per Resident per Day
3.70429
Adjusted CNA Staffing Hours per Resident per Day
3.20007
Adjusted LPN Staffing Hours per Resident per Day
0.37400
Adjusted RN Staffing Hours per Resident per Day
0.84895
Adjusted Total Nurse Staffing Hours per Resident per Day
4.58014
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-05-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-03-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-11-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
74.00000
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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