Heartland Of Waterville - Waterville Nursing Home
General Information
UPDATEFederal Provider Number
365617
Provider Name
HEARTLAND OF WATERVILLE
Provider Address
8885 BROWNING DRIVE
WATERVILLE, OH 43566
WATERVILLE, OH 43566
Provider Phone Number
4198788523
Provider SSA County
490
Provider County Name
Lucas
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF WATERVILLE OH, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-03-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.36591
Reported LPN Staffing Hours per Resident per Day
1.06773
Reported RN Staffing Hours per Resident per Day
0.62455
Reported Licensed Staffing Hours per Resident per Day
1.69227
Reported Total Nurse Staffing Hours per Resident per Day
4.05819
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08955
Expected CNA Staffing Hours per Resident per Day
2.70035
Expected LPN Staffing Hours per Resident per Day
0.82543
Expected RN Staffing Hours per Resident per Day
1.24463
Expected Total Nurse Staffing Hours per Resident per Day
4.77041
Adjusted CNA Staffing Hours per Resident per Day
2.14981
Adjusted LPN Staffing Hours per Resident per Day
1.07364
Adjusted RN Staffing Hours per Resident per Day
0.37494
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42909
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
2014-07-17
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
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-04-23
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
7
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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