Provider Name: CARDINAL HILL SKILLED REHABILITATION UNIT
Address: 2050 VERSAILLES ROAD, LEXINGTON, KY 40504
Phone: (859) 254-5701
County: Fayette (330)
Ownership Type: For profit - Corporation
Certified Beds: 74
Average Residents Per Day: 31.2 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CARDINAL HILL, LLC
First Approved Date: February 1, 2012
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: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 4 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.80343, LPN Staff Hours Per Day: 1.6564, RN Staff Hours Per Day: 1.1738, Licensed Staff Hours Per Day: 2.8302
Total Nurse Staff Hours Per Day, per resident: 4.63370
Weekend Nurse Staff Hours: 4.08496, Weekend RN Staff Hours: 0.8897
PT Staff Hours Per Day, per resident: 0.7384
Nurse Staff Turnover: 36.6, Nurse Turnover Note:
RN Turnover: 44.4, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0617, Case Mix LPN Hours Per Day: 0.9421, Case Mix RN Hours Per Day: 0.5293
Adjusted Nurse Aide Hours Per Day, per resident: 1.78204, Adjusted LPN Hours Per Day: 1.2975, Adjusted RN Hours Per Day: 0.8356
Total Adjusted Nurse Hours Per Day, per resident: 4.13392
Adjusted Weekend Nurse Hours Per Day, per resident: 3.64436
Health Survey Dates and Scores: Cycle 1: 2023-11-30 (Score: 8), Cycle 2: 2020-03-12 (Score: 0), Cycle 3: 2019-02-13 (Score: 20)
Total Weighted Health Score: 7.333
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: 2050 VERSAILLES ROAD,LEXINGTON,KY,40504 (38.0476, -84.542)
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: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 2023-12-10
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 2023-12-10
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 2019-03-31
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 2019-03-31
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: 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 2023-12-20
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 2024-01-23
Type: Fire Safety, Tag: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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 2023-12-20
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 2023-12-01
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 2019-05-01