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Celina Manor - Celina Nursing Home

General Information

UPDATE
Federal Provider Number
365377
Provider Name
CELINA MANOR
Provider Address
1001 MYERS ROAD
CELINA, OH 45822
Provider Phone Number
4195866645
Provider SSA County
550
Provider County Name
Mercer
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF CELINA, INC.
Date First Approved to Provide Medicare and Medicaid services
1978-06-26
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46650
Reported LPN Staffing Hours per Resident per Day
0.65388
Reported RN Staffing Hours per Resident per Day
0.65291
Reported Licensed Staffing Hours per Resident per Day
1.30680
Reported Total Nurse Staffing Hours per Resident per Day
3.77329
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04175
Expected CNA Staffing Hours per Resident per Day
2.46996
Expected LPN Staffing Hours per Resident per Day
0.69426
Expected RN Staffing Hours per Resident per Day
1.30509
Expected Total Nurse Staffing Hours per Resident per Day
4.46931
Adjusted CNA Staffing Hours per Resident per Day
2.45026
Adjusted LPN Staffing Hours per Resident per Day
0.78172
Adjusted RN Staffing Hours per Resident per Day
0.37381
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40315
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
2014-02-20
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-11-29
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-08-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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