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Bowerston Hills Nursing & Rehabilitation - Bowerston Nursing Home

General Information

UPDATE
Federal Provider Number
366037
Provider Name
BOWERSTON HILLS NURSING & REHABILITATION
Provider Address
9076 CUMBERLAND ROAD
BOWERSTON, OH 44695
Provider Phone Number
7402694000
Provider SSA County
90
Provider County Name
Carroll
Ownership Type
For profit - Partnership
Number of Certified Beds
25
Number of Residents in Certified Beds
16
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BOWERSTON HILLS HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1996-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.79375
Reported LPN Staffing Hours per Resident per Day
1.71563
Reported RN Staffing Hours per Resident per Day
1.17813
Reported Licensed Staffing Hours per Resident per Day
2.89375
Reported Total Nurse Staffing Hours per Resident per Day
5.68751
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25000
Expected CNA Staffing Hours per Resident per Day
2.58619
Expected LPN Staffing Hours per Resident per Day
0.76235
Expected RN Staffing Hours per Resident per Day
1.37480
Expected Total Nurse Staffing Hours per Resident per Day
4.72333
Adjusted CNA Staffing Hours per Resident per Day
2.65063
Adjusted LPN Staffing Hours per Resident per Day
1.86788
Adjusted RN Staffing Hours per Resident per Day
0.64031
Adjusted Total Nurse Staffing Hours per Resident per Day
4.85373
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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