Woodhaven Care Center - Ellinwood Nursing Home
General Information
UPDATEFederal Provider Number
175354
Provider Name
WOODHAVEN CARE CENTER
Provider Address
510 W 7TH ST
ELLINWOOD, KS 67526
ELLINWOOD, KS 67526
Provider Phone Number
6205642337
Provider SSA County
40
Provider County Name
Barton
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE KS LLC
Date First Approved to Provide Medicare and Medicaid services
1996-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.74468
Reported LPN Staffing Hours per Resident per Day
0.63511
Reported RN Staffing Hours per Resident per Day
0.73404
Reported Licensed Staffing Hours per Resident per Day
1.36915
Reported Total Nurse Staffing Hours per Resident per Day
3.11383
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00319
Expected CNA Staffing Hours per Resident per Day
2.41909
Expected LPN Staffing Hours per Resident per Day
0.62018
Expected RN Staffing Hours per Resident per Day
0.90414
Expected Total Nurse Staffing Hours per Resident per Day
3.94341
Adjusted CNA Staffing Hours per Resident per Day
1.76964
Adjusted LPN Staffing Hours per Resident per Day
0.84999
Adjusted RN Staffing Hours per Resident per Day
0.60663
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18292
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-04-22
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
23
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
23
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-04-04
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-01-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
88.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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
Nursiong Homes Nearby
Great Bend Health & Rehab Center
1560 K 96 Hwy |
GREAT BEND KS 67530 | 11.6 miles away
Cherry Village
1401 Cherry Ln |
GREAT BEND KS 67530 | 12.2 miles away
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