You are here

Detailed information-CORDOVA COMMUNITY MED LTC

This is the detailed information about CORDOVA COMMUNITY MED LTC, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 025028
Provider Name: CORDOVA COMMUNITY MED LTC
Provider State: AK
Provider Zip Code: 99574
Overall Rating: 4
Ownership Type: Non profit - Corporation
Number of Substantiated Complaints: 0
Provider Phone Number: 9074248000
Provider City: CORDOVA
Provider SSA County Code: 080
Provider County Name: Valdez Cordova
Provider Address: P.O. BOX 160
Number of Certified Beds: 10
Number of Residents in Certified Beds: 10.0
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: Y
Date First Approved to Provide Medicare and Medicaid services: 1994-03-22
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Both
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 2
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: 4.30163
Reported LPN Staffing Hours per Resident per Day: 0.10435
Reported RN Staffing Hours per Resident per Day: 3.58424
Reported Licensed Staffing Hours per Resident per Day: 3.68859
Reported Total Nurse Staffing Hours per Resident per Day: 7.99022
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.08529
Expected CNA Staffing Hours per Resident per Day: 2.33146
Expected LPN Staffing Hours per Resident per Day: 0.75946
Expected RN Staffing Hours per Resident per Day: 0.28640
Expected Total Nurse Staffing Hours per Resident per Day: 3.37732

Adjusted CNA Staffing Hours per Resident per Day: 3.85473
Adjusted LPN Staffing Hours per Resident per Day: 0.10426
Adjusted RN Staffing Hours per Resident per Day: 4.76084
Adjusted Total Nurse Staffing Hours per Resident per Day: 7.63817
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 11/02/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 13
Rating Cycle 1 Standard Survey Health Date: 2017-11-02
Rating Cycle 1 Total Number of Health Deficiencies: 13
Rating Cycle 1 Number of Standard Health Deficiencies: 13
Rating Cycle 1 Number of Complaint Health Deficiencies: 0
Rating Cycle 1 Health Deficiency Score: 100
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 100

Rating Cycle 2 Standard Health Survey Date: 2016-11-11
Rating Cycle 2 Total Number of Health Deficiencies: 21
Rating Cycle 2 Number of Standard Health Deficiencies: 18
Rating Cycle 2 Number of Complaint Health Deficiencies: 3
Rating Cycle 2 Health Deficiency Score: 116
Rating Cycle 2 Number of Health Revisits: 2
Rating Cycle 2 Health Revisit Score: 58
Rating Cycle 2 Total Health Score: 174
Total Weighted Health Survey Score: 129.600
Number of Facility Reported Incidents: 1
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01