Winfield Rest Haven Ii, Llc - Winfield Nursing Home
General Information
UPDATEFederal Provider Number
175488
Provider Name
WINFIELD REST HAVEN II, LLC
Provider Address
1611 RITCHIE
WINFIELD, KS 67156
WINFIELD, KS 67156
Provider Phone Number
(620) 221-9290
Provider SSA County
170
Provider County Name
Cowley
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINFIELD REST HAVEN INC
Date First Approved to Provide Medicare and Medicaid services
2006-06-23
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.25000
Reported LPN Staffing Hours per Resident per Day
0.63472
Reported RN Staffing Hours per Resident per Day
0.31667
Reported Licensed Staffing Hours per Resident per Day
0.95139
Reported Total Nurse Staffing Hours per Resident per Day
4.20139
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.26222
Expected LPN Staffing Hours per Resident per Day
0.55221
Expected RN Staffing Hours per Resident per Day
0.81678
Expected Total Nurse Staffing Hours per Resident per Day
3.63121
Adjusted CNA Staffing Hours per Resident per Day
3.52508
Adjusted LPN Staffing Hours per Resident per Day
0.95402
Adjusted RN Staffing Hours per Resident per Day
0.28969
Adjusted Total Nurse Staffing Hours per Resident per Day
4.66384
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
204
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
102
Cycle 2 Total Health Score
306
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-04-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
124.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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