Bethany Village - Dayton Nursing Home
General Information
UPDATEFederal Provider Number
365493
Provider Name
BETHANY VILLAGE
Provider Address
6451 FAR HILLS AVENUE
DAYTON, OH 45459
DAYTON, OH 45459
Provider Phone Number
(937) 436-6841
Provider SSA County
580
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
252
Number of Residents in Certified Beds
248
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRACEWORKS LUTHERAN SERVICES
Date First Approved to Provide Medicare and Medicaid services
1980-06-01
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
4
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
2.63468
Reported LPN Staffing Hours per Resident per Day
0.79718
Reported RN Staffing Hours per Resident per Day
0.71069
Reported Licensed Staffing Hours per Resident per Day
1.50786
Reported Total Nurse Staffing Hours per Resident per Day
4.14255
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05302
Expected CNA Staffing Hours per Resident per Day
2.56116
Expected LPN Staffing Hours per Resident per Day
0.65274
Expected RN Staffing Hours per Resident per Day
1.06723
Expected Total Nurse Staffing Hours per Resident per Day
4.28114
Adjusted CNA Staffing Hours per Resident per Day
2.52414
Adjusted LPN Staffing Hours per Resident per Day
1.01366
Adjusted RN Staffing Hours per Resident per Day
0.49757
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90042
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-07-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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