Wichita Presbyterian Manor - Wichita Nursing Home
General Information
UPDATEFederal Provider Number
175301
Provider Name
WICHITA PRESBYTERIAN MANOR
Provider Address
4700 W 13TH ST N
WICHITA, KS 67212
WICHITA, KS 67212
Provider Phone Number
3169427456
Provider SSA County
860
Provider County Name
Sedgwick
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN MANORS INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
3.12745
Reported LPN Staffing Hours per Resident per Day
0.69608
Reported RN Staffing Hours per Resident per Day
1.00980
Reported Licensed Staffing Hours per Resident per Day
1.70588
Reported Total Nurse Staffing Hours per Resident per Day
4.83333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02059
Expected CNA Staffing Hours per Resident per Day
2.37182
Expected LPN Staffing Hours per Resident per Day
0.65976
Expected RN Staffing Hours per Resident per Day
1.02326
Expected Total Nurse Staffing Hours per Resident per Day
4.05484
Adjusted CNA Staffing Hours per Resident per Day
3.23542
Adjusted LPN Staffing Hours per Resident per Day
0.87569
Adjusted RN Staffing Hours per Resident per Day
0.73737
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80480
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-02-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-11-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-08-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
0
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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