Liberty Nursing Center Of Jamestown - Jamestown Nursing Home
General Information
UPDATEFederal Provider Number
365368
Provider Name
LIBERTY NURSING CENTER OF JAMESTOWN
Provider Address
4960 US 35 EAST
JAMESTOWN, OH 45335
JAMESTOWN, OH 45335
Provider Phone Number
9376753311
Provider SSA County
290
Provider County Name
Greene
Ownership Type
For profit - Corporation
Number of Certified Beds
43
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY NURSING CENTER OF JAMESTOWN
Date First Approved to Provide Medicare and Medicaid services
1977-11-01
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.58485
Reported LPN Staffing Hours per Resident per Day
0.86364
Reported RN Staffing Hours per Resident per Day
0.67424
Reported Licensed Staffing Hours per Resident per Day
1.53788
Reported Total Nurse Staffing Hours per Resident per Day
4.12273
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04091
Expected CNA Staffing Hours per Resident per Day
2.49999
Expected LPN Staffing Hours per Resident per Day
0.71241
Expected RN Staffing Hours per Resident per Day
1.50415
Expected Total Nurse Staffing Hours per Resident per Day
4.71655
Adjusted CNA Staffing Hours per Resident per Day
2.53698
Adjusted LPN Staffing Hours per Resident per Day
1.00619
Adjusted RN Staffing Hours per Resident per Day
0.33494
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52340
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
20
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-26
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
20
Cycle 3 Standard Health Survey Date
2012-06-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
National Church Residences Legacy Village
695 Wycliffe Drive |
XENIA OH 45385 | 9.2 miles away
Greene Oaks Health Center
164 Office Park Drive |
XENIA OH 45385 | 9.9 miles away
Liberty Nursing Center Of Xenia
126 Wilson Drive |
XENIA OH 45385 | 10 miles away
Hospitality Center For Rehabilitation And Healing
1301 North Monroe Drive |
XENIA OH 45385 | 10.1 miles away
Greenewood Manor
711 Dayton-xenia Road |
XENIA OH 45385 | 11.8 miles away
Friends Extended Care Center
150 East Herman Street |
YELLOW SPRINGS OH 45387 | 12.1 miles away
Trinity Community
3218 Indian Ripple Road |
BEAVERCREEK OH 45440 | 16.4 miles away
Patriot Ridge Community
789 Stoneybrook Terrace |
FAIRBORN OH 45324 | 17.1 miles away
Heartland Of Beavercreek
1974 North Fairfield Road |
BEAVERCREEK OH 45432 | 17.4 miles away
Wright Nursing And Rehab Ctr
829 Yellow Springs - Fairfield Rd |
FAIRBORN OH 45324 | 17.7 miles away
Dayspring Of Miami Valley Hlth Care Center & Rehab
8001 Dayton Springfield Road |
FAIRBORN OH 45324 | 17.9 miles away
Liberty Nursing Center Of Bellbrook Inc
1957 North Lakeman Drive |
BELLBROOK OH 45305 | 18.9 miles away
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