Provider Name: TELFORD TERRACE
Address: 1025 ROBERT L TELFORD DRIVE, RICHMOND, KY 40475
Phone: (859) 626-5200
County: Madison (750)
Ownership Type: Non profit - Corporation
Certified Beds: 26
Average Residents Per Day: 19.4 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: MCCREADY MANOR, INC
First Approved Date: November 24, 2003
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 2 ()
Health Inspection Rating: 2 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: (2)
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.89530, LPN Staff Hours Per Day: 0.9178, RN Staff Hours Per Day: 1.0060, Licensed Staff Hours Per Day: 1.9238
Total Nurse Staff Hours Per Day, per resident: 3.81913
Weekend Nurse Staff Hours: 3.18566, Weekend RN Staff Hours: 0.7071
PT Staff Hours Per Day, per resident: 0.1070
Nurse Staff Turnover: 77.6, Nurse Turnover Note:
RN Turnover: 62.5, RN Turnover Note:
Admin Left Number: 3, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1908, Case Mix LPN Hours Per Day: 0.6648, Case Mix RN Hours Per Day: 0.3456
Adjusted Nurse Aide Hours Per Day, per resident: 1.76246, Adjusted LPN Hours Per Day: 1.0187, Adjusted RN Hours Per Day: 1.0967
Total Adjusted Nurse Hours Per Day, per resident: 3.76035
Adjusted Weekend Nurse Hours Per Day, per resident: 3.13663
Health Survey Dates and Scores: Cycle 1: 2023-02-24 (Score: 4), Cycle 2: 2022-01-15 (Score: 90), Cycle 3: 2019-03-07 (Score: 0)
Total Weighted Health Score: 32.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 13696.72, Payment Denials Number: 1, Total Penalties Number: 2
Location and GPS: 1025 ROBERT L TELFORD DRIVE,RICHMOND,KY,40475 (37.7634, -84.300)
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 food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 2023-04-14
Type: Health, Deficiency: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 2022-03-04
Type: Health, Deficiency: Assess the resident when there is a significant change in condition
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 2022-03-04
Type: Health, Deficiency: Assure that each resident’s assessment is updated at least once every 3 months.
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 2022-03-04
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: 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 2022-03-04
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2022-03-09
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-03-08
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: 0026, Version: New
Description: Establish roles under a Waiver declared by secretary.
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 2023-04-15
Type: Fire Safety, Tag: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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 2023-04-15
Type: Fire Safety, Tag: 0781, Version: New
Description: Have restrictions on the use of portable space heaters.
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 2023-04-15
Type: Fire Safety, Tag: 0920, Version: New
Description: Ensure proper usage of power strips and extension cords.
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 2023-04-15