Riverside Nursing And Rehabilitation Center - Dayton Nursing Home
General Information
UPDATEFederal Provider Number
365877
Provider Name
RIVERSIDE NURSING AND REHABILITATION CENTER
Provider Address
1390 KING TREE DRIVE
DAYTON, OH 45405
DAYTON, OH 45405
Provider Phone Number
9372780723
Provider SSA County
580
Provider County Name
Montgomery
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
175
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KING TREE LEASING CO., LLC
Date First Approved to Provide Medicare and Medicaid services
1992-06-29
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07114
Reported LPN Staffing Hours per Resident per Day
0.82857
Reported RN Staffing Hours per Resident per Day
0.43543
Reported Licensed Staffing Hours per Resident per Day
1.26400
Reported Total Nurse Staffing Hours per Resident per Day
3.33514
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00314
Expected CNA Staffing Hours per Resident per Day
2.12800
Expected LPN Staffing Hours per Resident per Day
0.63747
Expected RN Staffing Hours per Resident per Day
1.17262
Expected Total Nurse Staffing Hours per Resident per Day
3.93808
Adjusted CNA Staffing Hours per Resident per Day
2.38814
Adjusted LPN Staffing Hours per Resident per Day
1.07882
Adjusted RN Staffing Hours per Resident per Day
0.27746
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41374
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-23
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
21.33300
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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