Carriage Inn Of Cadiz Inc - Cadiz Nursing Home
General Information
UPDATEFederal Provider Number
365342
Provider Name
CARRIAGE INN OF CADIZ INC
Provider Address
308 WEST WARREN STREET
CADIZ, OH 43907
CADIZ, OH 43907
Provider Phone Number
(740) 942-8084
Provider SSA County
350
Provider County Name
Harrison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
308 WEST WARREN OPERATING COMPANY, INC
Date First Approved to Provide Medicare and Medicaid services
1976-06-03
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
2
Health Inspection Rating Footnote
QM Rating
2
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
1.99841
Reported LPN Staffing Hours per Resident per Day
0.77937
Reported RN Staffing Hours per Resident per Day
0.53571
Reported Licensed Staffing Hours per Resident per Day
1.31508
Reported Total Nurse Staffing Hours per Resident per Day
3.31349
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04683
Expected CNA Staffing Hours per Resident per Day
2.36537
Expected LPN Staffing Hours per Resident per Day
0.63862
Expected RN Staffing Hours per Resident per Day
1.11766
Expected Total Nurse Staffing Hours per Resident per Day
4.12165
Adjusted CNA Staffing Hours per Resident per Day
2.07303
Adjusted LPN Staffing Hours per Resident per Day
1.01294
Adjusted RN Staffing Hours per Resident per Day
0.35814
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24053
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-04
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
36.66700
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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