Brookview Healthcare Center - Defiance Nursing Home
General Information
UPDATEFederal Provider Number
365447
Provider Name
BROOKVIEW HEALTHCARE CENTER
Provider Address
214 HARDING STREET
DEFIANCE, OH 43512
DEFIANCE, OH 43512
Provider Phone Number
(419) 784-1014
Provider SSA County
200
Provider County Name
Defiance
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEALTHCARE VENTURES OF OHIO LLC
Date First Approved to Provide Medicare and Medicaid services
1980-03-28
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.77712
Reported LPN Staffing Hours per Resident per Day
0.76017
Reported RN Staffing Hours per Resident per Day
0.61695
Reported Licensed Staffing Hours per Resident per Day
1.37712
Reported Total Nurse Staffing Hours per Resident per Day
3.15424
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07373
Expected CNA Staffing Hours per Resident per Day
2.24372
Expected LPN Staffing Hours per Resident per Day
0.67066
Expected RN Staffing Hours per Resident per Day
1.38732
Expected Total Nurse Staffing Hours per Resident per Day
4.30170
Adjusted CNA Staffing Hours per Resident per Day
1.94344
Adjusted LPN Staffing Hours per Resident per Day
0.94077
Adjusted RN Staffing Hours per Resident per Day
0.33228
Adjusted Total Nurse Staffing Hours per Resident per Day
2.95567
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
4
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
20
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
10.66700
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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