Cumberland Valley Manor
Cumberland Valley Manor Information
| Facility Name | Cumberland Valley Manor |
| Location | 301 South Main Street, Po Box 438, Burkesville, KY 42717 |
| County (SSA Code) | Cumberland (271) |
| Phone Number | 270-864-4315 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 84 |
| Average Number of Residents | 75 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | CUMBERLAND VALLEY MANOR, INC. |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1991-06-19 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.39193 |
| Reported LPN Staffing Hours per Resident per Day | 0.97954 |
| Reported RN Staffing - Hours per Resident per Day | 0.36546 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.345 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.73693 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.03895 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.21668 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.81232 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.42635 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.45535 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.37068 |
| Total Weighted Health Survey Score for three cycles | 82.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-10-11 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 229 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-20 |
| Rating cycle 2 - Health Deficiency Score | 229 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-09 |
| Rating cycle 3 - Health Deficiency Score | 24 |
| Rating cycle 3 - Total Health Inspection Score | 24 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 442146 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |