Abaco Rehabilitation And Nursing Facility - Columbus Nursing Home
General Information
UPDATEFederal Provider Number
366313
Provider Name
ABACO REHABILITATION AND NURSING FACILITY
Provider Address
740 CANONBY PLACE
COLUMBUS, OH 43223
COLUMBUS, OH 43223
Provider Phone Number
(614) 224-5738
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
101
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LONGTERM LODGING INC
Date First Approved to Provide Medicare and Medicaid services
2005-04-25
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.56456
Reported LPN Staffing Hours per Resident per Day
1.08797
Reported RN Staffing Hours per Resident per Day
0.76519
Reported Licensed Staffing Hours per Resident per Day
1.85316
Reported Total Nurse Staffing Hours per Resident per Day
3.41772
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02152
Expected CNA Staffing Hours per Resident per Day
2.18655
Expected LPN Staffing Hours per Resident per Day
0.66855
Expected RN Staffing Hours per Resident per Day
1.17102
Expected Total Nurse Staffing Hours per Resident per Day
4.02611
Adjusted CNA Staffing Hours per Resident per Day
1.75572
Adjusted LPN Staffing Hours per Resident per Day
1.35071
Adjusted RN Staffing Hours per Resident per Day
0.48825
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42178
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
103
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
103
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-06-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
67.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
8500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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