Arbors At Waterville - Waterville Nursing Home
General Information
UPDATEFederal Provider Number
365747
Provider Name
ARBORS AT WATERVILLE
Provider Address
555 ANTHONY WAYNE TRAIL
WATERVILLE, OH 43566
WATERVILLE, OH 43566
Provider Phone Number
(419) 878-3901
Provider SSA County
490
Provider County Name
Lucas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WATERVILLE CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-10
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.67615
Reported LPN Staffing Hours per Resident per Day
0.77385
Reported RN Staffing Hours per Resident per Day
0.93308
Reported Licensed Staffing Hours per Resident per Day
1.70692
Reported Total Nurse Staffing Hours per Resident per Day
4.38308
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01769
Expected CNA Staffing Hours per Resident per Day
2.20696
Expected LPN Staffing Hours per Resident per Day
0.68906
Expected RN Staffing Hours per Resident per Day
1.15920
Expected Total Nurse Staffing Hours per Resident per Day
4.05522
Adjusted CNA Staffing Hours per Resident per Day
2.97534
Adjusted LPN Staffing Hours per Resident per Day
0.93214
Adjusted RN Staffing Hours per Resident per Day
0.60145
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35680
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-04
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
10.00000
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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