Ohio Nursing Homes >> Tiffin Nursing Homes >> Autumnwood Care Center

Autumnwood Care Center - Tiffin Nursing Home

General Information

UPDATE
Federal Provider Number
365380
Provider Name
AUTUMNWOOD CARE CENTER
Provider Address
670 E SR 18
TIFFIN, OH 44883
Provider Phone Number
(419) 447-7151
Provider SSA County
750
Provider County Name
Seneca
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VOLUNTEERS OF AMERICA CARE FACILITIES
Date First Approved to Provide Medicare and Medicaid services
1979-10-16
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
2
QM Rating Footnote
Staffing Rating
3
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
2.35200
Reported LPN Staffing Hours per Resident per Day
0.96200
Reported RN Staffing Hours per Resident per Day
0.58550
Reported Licensed Staffing Hours per Resident per Day
1.54750
Reported Total Nurse Staffing Hours per Resident per Day
3.89950
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05700
Expected CNA Staffing Hours per Resident per Day
2.31685
Expected LPN Staffing Hours per Resident per Day
0.65962
Expected RN Staffing Hours per Resident per Day
0.98592
Expected Total Nurse Staffing Hours per Resident per Day
3.96239
Adjusted CNA Staffing Hours per Resident per Day
2.49092
Adjusted LPN Staffing Hours per Resident per Day
1.21049
Adjusted RN Staffing Hours per Resident per Day
0.44373
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96692
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
24
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-01-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
37505
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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