Arbors West - West Jefferson Nursing Home
General Information
UPDATEFederal Provider Number
365426
Provider Name
ARBORS WEST
Provider Address
375 WEST MAIN STREET
WEST JEFFERSON, OH 43162
WEST JEFFERSON, OH 43162
Provider Phone Number
(614) 879-7661
Provider SSA County
500
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARBORS WEST CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1979-10-12
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.17742
Reported LPN Staffing Hours per Resident per Day
0.53871
Reported RN Staffing Hours per Resident per Day
0.67634
Reported Licensed Staffing Hours per Resident per Day
1.21505
Reported Total Nurse Staffing Hours per Resident per Day
3.39247
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18441
Expected CNA Staffing Hours per Resident per Day
2.31278
Expected LPN Staffing Hours per Resident per Day
0.68381
Expected RN Staffing Hours per Resident per Day
1.26316
Expected Total Nurse Staffing Hours per Resident per Day
4.25976
Adjusted CNA Staffing Hours per Resident per Day
2.31009
Adjusted LPN Staffing Hours per Resident per Day
0.65388
Adjusted RN Staffing Hours per Resident per Day
0.40008
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21021
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
24
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
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
3900
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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