Briar Hill Health Campus - North Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
365387
Provider Name
BRIAR HILL HEALTH CAMPUS
Provider Address
600 STERLING DR
NORTH BALTIMORE, OH 45872
NORTH BALTIMORE, OH 45872
Provider Phone Number
(419) 257-2421
Provider SSA County
880
Provider County Name
Wood
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRILOGY HEALTHCARE OF NORTH BALTIMORE LLC
Date First Approved to Provide Medicare and Medicaid services
1978-07-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.15851
Reported LPN Staffing Hours per Resident per Day
0.78723
Reported RN Staffing Hours per Resident per Day
0.83191
Reported Licensed Staffing Hours per Resident per Day
1.61915
Reported Total Nurse Staffing Hours per Resident per Day
3.77765
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12766
Expected CNA Staffing Hours per Resident per Day
2.69533
Expected LPN Staffing Hours per Resident per Day
0.73230
Expected RN Staffing Hours per Resident per Day
1.14543
Expected Total Nurse Staffing Hours per Resident per Day
4.57305
Adjusted CNA Staffing Hours per Resident per Day
1.96501
Adjusted LPN Staffing Hours per Resident per Day
0.89226
Adjusted RN Staffing Hours per Resident per Day
0.54268
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32980
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
14.66700
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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