Autumn Years Nursing Center - Sabina Nursing Home
General Information
UPDATEFederal Provider Number
366091
Provider Name
AUTUMN YEARS NURSING CENTER
Provider Address
580 EAST WASHINGTON STREET
SABINA, OH 45169
SABINA, OH 45169
Provider Phone Number
(937) 584-2497
Provider SSA County
130
Provider County Name
Clinton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EARLEY AND ROSS, LTD.
Date First Approved to Provide Medicare and Medicaid services
1996-09-23
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
1.96250
Reported LPN Staffing Hours per Resident per Day
0.94219
Reported RN Staffing Hours per Resident per Day
0.88750
Reported Licensed Staffing Hours per Resident per Day
1.82969
Reported Total Nurse Staffing Hours per Resident per Day
3.79219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01094
Expected CNA Staffing Hours per Resident per Day
2.47083
Expected LPN Staffing Hours per Resident per Day
0.74568
Expected RN Staffing Hours per Resident per Day
1.08498
Expected Total Nurse Staffing Hours per Resident per Day
4.30148
Adjusted CNA Staffing Hours per Resident per Day
1.94890
Adjusted LPN Staffing Hours per Resident per Day
1.04873
Adjusted RN Staffing Hours per Resident per Day
0.61120
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55364
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
111
Cycle 2 Standard Health Survey Date
2013-10-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
111
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
57.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
60988
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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