Cottages Of Clayton Inc The - Dayton Nursing Home
General Information
UPDATEFederal Provider Number
366414
Provider Name
COTTAGES OF CLAYTON INC THE
Provider Address
8212 NORTH MAIN STREET
DAYTON, OH 45415
DAYTON, OH 45415
Provider Phone Number
9372800300
Provider SSA County
580
Provider County Name
Montgomery
Ownership Type
For profit - Partnership
Number of Certified Beds
14
Number of Residents in Certified Beds
8
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
COTTAGES OF CLAYTON, INC.
Date First Approved to Provide Medicare and Medicaid services
2014-01-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.49375
Reported LPN Staffing Hours per Resident per Day
2.71250
Reported RN Staffing Hours per Resident per Day
1.71875
Reported Licensed Staffing Hours per Resident per Day
4.43125
Reported Total Nurse Staffing Hours per Resident per Day
8.92500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13125
Expected CNA Staffing Hours per Resident per Day
2.20934
Expected LPN Staffing Hours per Resident per Day
0.74241
Expected RN Staffing Hours per Resident per Day
1.63422
Expected Total Nurse Staffing Hours per Resident per Day
4.58596
Adjusted CNA Staffing Hours per Resident per Day
4.99077
Adjusted LPN Staffing Hours per Resident per Day
3.03254
Adjusted RN Staffing Hours per Resident per Day
0.78585
Adjusted Total Nurse Staffing Hours per Resident per Day
7.84476
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-12-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-10
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
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
23.20000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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