Provider Name: MASONIC HOME OF SHELBYVILLE
Address: 711 FRANKFORT ROAD, SHELBYVILLE, KY 40066
Phone: (502) 633-3486
County: Shelby (978)
Ownership Type: For profit - Corporation
Certified Beds: 117
Average Residents Per Day: 76.6 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: MASONIC HOMES OF KENTUCKY INC.
First Approved Date: April 28, 1993
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 3 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.03044, LPN Staff Hours Per Day: 1.3031, RN Staff Hours Per Day: 0.6002, Licensed Staff Hours Per Day: 1.9033
Total Nurse Staff Hours Per Day, per resident: 4.93381
Weekend Nurse Staff Hours: 4.33696, Weekend RN Staff Hours: 0.2282
PT Staff Hours Per Day, per resident: 0.0713
Nurse Staff Turnover: 60.7, Nurse Turnover Note:
RN Turnover: 50.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.3492, Case Mix LPN Hours Per Day: 0.7184, Case Mix RN Hours Per Day: 0.3647
Adjusted Nurse Aide Hours Per Day, per resident: 2.62800, Adjusted LPN Hours Per Day: 1.3386, Adjusted RN Hours Per Day: 0.6200
Total Adjusted Nurse Hours Per Day, per resident: 4.53084
Adjusted Weekend Nurse Hours Per Day, per resident: 3.98274
Health Survey Dates and Scores: Cycle 1: 2019-04-12 (Score: 4), Cycle 2: 2018-01-25 (Score: 0), Cycle 3: 2016-11-22 (Score: 4)
Total Weighted Health Score: 2.667
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: 711 FRANKFORT ROAD,SHELBYVILLE,KY,40066 (38.2120, -85.196)
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 2019-05-14
Type: Health, Deficiency: Have a program that investigates, controls and keeps infection from spreading.
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 2016-12-31
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: 0361, Version: New
Description: Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
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 2019-05-14
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
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 2019-05-14