Provider Name: CUMBERLAND VALLEY NURSING & REHABILITATION CENTER
Address: 301 SOUTH MAIN STREET, BURKESVILLE, KY 42717
Phone: (270) 864-4315
County: Cumberland (271)
Ownership Type: Non profit - Corporation
Certified Beds: 84
Average Residents Per Day: 74.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CUMBERLAND KY OPCO LLC
First Approved Date: June 19, 1991
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: Y
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: (20)
Long Stay QM Rating: (20)
Short Stay QM Rating: 1 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.42393, LPN Staff Hours Per Day: 1.0309, RN Staff Hours Per Day: 0.4940, Licensed Staff Hours Per Day: 1.5249
Total Nurse Staff Hours Per Day, per resident: 3.94892
Weekend Nurse Staff Hours: 3.37214, Weekend RN Staff Hours: 0.4054
PT Staff Hours Per Day, per resident: 0.0823
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: 4, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1716, Case Mix LPN Hours Per Day: 0.7916, Case Mix RN Hours Per Day: 0.4139
Adjusted Nurse Aide Hours Per Day, per resident: 2.27393, Adjusted LPN Hours Per Day: 0.9611, Adjusted RN Hours Per Day: 0.4496
Total Adjusted Nurse Hours Per Day, per resident: 3.68560
Adjusted Weekend Nurse Hours Per Day, per resident: 3.14728
Health Survey Dates and Scores: Cycle 1: 2019-10-11 (Score: 0), Cycle 2: 2018-09-20 (Score: 4), Cycle 3: 2017-08-09 (Score: 24)
Total Weighted Health Score: 5.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 4, Total Fines in Dollars: 9389.25, Payment Denials Number: 0, Total Penalties Number: 4
Location and GPS: 301 SOUTH MAIN STREET,BURKESVILLE,KY,42717 (36.7882, -85.372)
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: Post nurse staffing information every day.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-10-12
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2018-10-12
Type: Health, Deficiency: Provide care by qualified persons according to each resident's written plan of care.
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 2017-09-08
Type: Health, Deficiency: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
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 2017-09-08
Type: Health, Deficiency: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
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 2017-09-08
Type: Health, Deficiency: Store, cook, and serve food in a safe and clean way.
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 2017-09-08
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 2018-10-16
Type: Fire Safety, Tag: 0374, Version: New
Description: Install smoke barrier doors that can resist smoke for at least 20 minutes.
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 2018-10-16