Provider Name: PERKINS COUNTRY MANOR
Address: 5269 ASBURY ROAD, AUGUSTA, KY 41002
Phone: (606) 756-2156
County: Bracken (110)
Ownership Type: For profit - Corporation
Certified Beds: 32
Average Residents Per Day: 28.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: BRACKEN KY OPCO LLC
First Approved Date: May 7, 1992
Affiliated Entity: PLAINVIEW HEALTHCARE PARTNERS (657)
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: 5 ()
QM Rating: 1 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: 2 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.03456, LPN Staff Hours Per Day: 0.6828, RN Staff Hours Per Day: 0.7738, Licensed Staff Hours Per Day: 1.4566
Total Nurse Staff Hours Per Day, per resident: 3.49121
Weekend Nurse Staff Hours: 3.35263, Weekend RN Staff Hours: 0.8959
PT Staff Hours Per Day, per resident: 0.0368
Nurse Staff Turnover: 63.6, Nurse Turnover Note:
RN Turnover: , RN Turnover Note: 6
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1129, Case Mix LPN Hours Per Day: 0.8398, Case Mix RN Hours Per Day: 0.4115
Adjusted Nurse Aide Hours Per Day, per resident: 1.96164, Adjusted LPN Hours Per Day: 0.5999, Adjusted RN Hours Per Day: 0.7085
Total Adjusted Nurse Hours Per Day, per resident: 3.27084
Adjusted Weekend Nurse Hours Per Day, per resident: 3.14101
Health Survey Dates and Scores: Cycle 1: 2019-11-26 (Score: 4), Cycle 2: 2018-10-18 (Score: 0), Cycle 3: 2017-10-27 (Score: 16)
Total Weighted Health Score: 4.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 7, Total Fines in Dollars: 11464.99, Payment Denials Number: 0, Total Penalties Number: 7
Location and GPS: 5269 ASBURY ROAD,AUGUSTA,KY,41002 (38.7149, -84.019)
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: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 2019-12-06
Type: Health, Deficiency: Try to resolve each resident's complaints quickly.
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 2017-12-07
Type: Health, Deficiency: Provide medically-related social services to help each resident achieve the highest possible quality of life.
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 2017-12-07
Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.
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 2017-12-07
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 2019-12-30
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 2018-11-06
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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 2018-11-06
Type: Fire Safety, Tag: 0322, Version: New
Description: Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system.
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 2017-12-07