Adena Health And Rehabilitation Center - Adena Nursing Home

General Information

UPDATE
Federal Provider Number
366140
Provider Name
ADENA HEALTH AND REHABILITATION CENTER
Provider Address
213 US ROUTE 250
ADENA, OH 43901
Provider Phone Number
7405463620
Provider SSA County
420
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1997-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.80870
Reported LPN Staffing Hours per Resident per Day
0.78696
Reported RN Staffing Hours per Resident per Day
0.80543
Reported Licensed Staffing Hours per Resident per Day
1.59239
Reported Total Nurse Staffing Hours per Resident per Day
3.40109
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03587
Expected CNA Staffing Hours per Resident per Day
2.35055
Expected LPN Staffing Hours per Resident per Day
0.64732
Expected RN Staffing Hours per Resident per Day
1.08097
Expected Total Nurse Staffing Hours per Resident per Day
4.07884
Adjusted CNA Staffing Hours per Resident per Day
1.88807
Adjusted LPN Staffing Hours per Resident per Day
1.00905
Adjusted RN Staffing Hours per Resident per Day
0.55674
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36112
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-03-28
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
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
22.66700
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

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