Kendal At Granville - Granville Nursing Home
General Information
UPDATEFederal Provider Number
366314
Provider Name
KENDAL AT GRANVILLE
Provider Address
2158 COLUMBUS ROAD
GRANVILLE, OH 43023
GRANVILLE, OH 43023
Provider Phone Number
7405872840
Provider SSA County
460
Provider County Name
Licking
Ownership Type
Non profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
16
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
KENDAL AT GRANVILLE
Date First Approved to Provide Medicare and Medicaid services
2005-06-24
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
4.41563
Reported LPN Staffing Hours per Resident per Day
2.38125
Reported RN Staffing Hours per Resident per Day
1.95938
Reported Licensed Staffing Hours per Resident per Day
4.34063
Reported Total Nurse Staffing Hours per Resident per Day
8.75626
Reported Physical Therapist Staffing Hours per Resident Per Day
0.37500
Expected CNA Staffing Hours per Resident per Day
2.42066
Expected LPN Staffing Hours per Resident per Day
0.59440
Expected RN Staffing Hours per Resident per Day
1.23031
Expected Total Nurse Staffing Hours per Resident per Day
4.24537
Adjusted CNA Staffing Hours per Resident per Day
4.47590
Adjusted LPN Staffing Hours per Resident per Day
3.32508
Adjusted RN Staffing Hours per Resident per Day
1.18998
Adjusted Total Nurse Staffing Hours per Resident per Day
8.31390
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-09
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-03-13
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-11-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
14.66700
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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