Provider Name: CAMPBELLSVILLE NURSING AND REHABILITATION CENTER
Address: 1980 OLD GREENSBURG ROAD, CAMPBELLSVILLE, KY 42718
Phone: (270) 465-3506
County: Taylor (981)
Ownership Type: For profit - Corporation
Certified Beds: 67
Average Residents Per Day: 56.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CAMPBELLSVILLE OPERATING COMPANY LLC
First Approved Date: April 1, 1992
Affiliated Entity: BENJAMIN LANDA (646)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 3 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.95237, LPN Staff Hours Per Day: 1.3063, RN Staff Hours Per Day: 0.4994, Licensed Staff Hours Per Day: 1.8058
Total Nurse Staff Hours Per Day, per resident: 3.75820
Weekend Nurse Staff Hours: 3.22933, Weekend RN Staff Hours: 0.1965
PT Staff Hours Per Day, per resident: 0.0596
Nurse Staff Turnover: 69.0, Nurse Turnover Note:
RN Turnover: 60.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0705, Case Mix LPN Hours Per Day: 0.7990, Case Mix RN Hours Per Day: 0.4111
Adjusted Nurse Aide Hours Per Day, per resident: 1.92098, Adjusted LPN Hours Per Day: 1.2064, Adjusted RN Hours Per Day: 0.4577
Total Adjusted Nurse Hours Per Day, per resident: 3.61067
Adjusted Weekend Nurse Hours Per Day, per resident: 3.10256
Health Survey Dates and Scores: Cycle 1: 2019-11-21 (Score: 20), Cycle 2: 2018-11-01 (Score: 4), Cycle 3: 2017-08-18 (Score: 8)
Total Weighted Health Score: 12.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 1980 OLD GREENSBURG ROAD,CAMPBELLSVILLE,KY,42718 (37.3396, -85.379)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-12-18
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-12-18
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-11-09
Type: Health, Deficiency: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2017-09-12
Type: Health, Deficiency: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2017-09-12
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-12-18
Type: Fire Safety, Tag: 0004, Version: New
Description: Develop and maintain an Emergency Preparedness Program (EP).
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-12-07