Williamson Arh - South Williamson Nursing Home
General Information
UPDATEFederal Provider Number
185172
Provider Name
WILLIAMSON ARH
Provider Address
260 HOSPITAL DRIVE
SOUTH WILLIAMSON, KY 41503
SOUTH WILLIAMSON, KY 41503
Provider Phone Number
(606) 237-1725
Provider SSA County
970
Provider County Name
Pike
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
APPALACHIAN REGIONAL HEALTHCARE INC.
Date First Approved to Provide Medicare and Medicaid services
1984-06-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.43182
Reported LPN Staffing Hours per Resident per Day
2.08182
Reported RN Staffing Hours per Resident per Day
0.91591
Reported Licensed Staffing Hours per Resident per Day
2.99773
Reported Total Nurse Staffing Hours per Resident per Day
5.42955
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25909
Expected CNA Staffing Hours per Resident per Day
2.68124
Expected LPN Staffing Hours per Resident per Day
0.91682
Expected RN Staffing Hours per Resident per Day
1.42012
Expected Total Nurse Staffing Hours per Resident per Day
5.01818
Adjusted CNA Staffing Hours per Resident per Day
2.22544
Adjusted LPN Staffing Hours per Resident per Day
1.88469
Adjusted RN Staffing Hours per Resident per Day
0.48191
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36134
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
8
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
19.33300
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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