Archbishop Leibold Home - Cincinnati Nursing Home
General Information
UPDATEFederal Provider Number
366316
Provider Name
ARCHBISHOP LEIBOLD HOME
Provider Address
476 RIDDLE ROAD
CINCINNATI, OH 45220
CINCINNATI, OH 45220
Provider Phone Number
5132818001
Provider SSA County
310
Provider County Name
Hamilton
Ownership Type
Non profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARCHBISHOP LEIBHOLD HOME
Date First Approved to Provide Medicare and Medicaid services
2005-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.37273
Reported LPN Staffing Hours per Resident per Day
1.02818
Reported RN Staffing Hours per Resident per Day
1.20273
Reported Licensed Staffing Hours per Resident per Day
2.23091
Reported Total Nurse Staffing Hours per Resident per Day
5.60364
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02364
Expected CNA Staffing Hours per Resident per Day
2.33693
Expected LPN Staffing Hours per Resident per Day
0.66040
Expected RN Staffing Hours per Resident per Day
1.22932
Expected Total Nurse Staffing Hours per Resident per Day
4.22664
Adjusted CNA Staffing Hours per Resident per Day
3.54126
Adjusted LPN Staffing Hours per Resident per Day
1.29224
Adjusted RN Staffing Hours per Resident per Day
0.73104
Adjusted Total Nurse Staffing Hours per Resident per Day
5.34412
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
16
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
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
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.00000
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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